DENTAL CARE: Alabama
County and County Equivalent Listing
Autauga County
Population Group:
Low Income - Autauga/Elmore/Montgomery
Baldwin County
Population Group:
Low Income - Mobile/Baldwin
Barbour County
Population Group:
Low Income - Barbour/Henry
Bibb County
Population Group:
Facility:
Low Income - Bibb/Tuscaloosa
Cahaba Medical Care Foundation
Blount County
Population Group:
Low Income - Blount
Bullock County
Population Group:
Low Income - Bullock/Macon
Butler County
Population Group:
Low Income - Dental Care Area 19
Calhoun County
Population Group:
Low Income - Calhoun/Cleburne
Chambers County
Population Group:
Low Income - Chambers County
Cherokee County
Population Group:
Low Income - Cherokee
Chilton County
Population Group:
Low Income - Chilton County
Choctaw County
Population Group:
Low Income - Choctaw/Sumter/Marengo
Clarke County
Population Group:
Low Income - Clarke - Washington County
Clay County
Population Group:
Low Income - Clay
Cleburne County
Population Group:
Low Income - Calhoun/Cleburne
Coffee County
Population Group:
Low Income - Coffee/Covington
Colbert County
Population Group:
Low Income - Colbert/Lauderdale
Conecuh County
Population Group:
Facility:
Low Income - Conecuh-Escambia
Tri-County Medical Center
Coosa County
Population Group:
Low Income - Coosa County
Covington County
Population Group:
Low Income - Coffee/Covington
Page 1 of 191 Pages
DENTAL CARE: Alabama
County and County Equivalent Listing
Crenshaw County
Population Group:
Low Income - Crenshaw-Pike County
Cullman County
Population Group:
Low Income - Cullman
Dale County
Population Group:
Low Income - Dale/Geneva/Houston
Dallas County
Population Group:
Facility:
Low Income - Dallas-Perry County
Rural Health Medical Program
DeKalb County
Population Group:
Low Income - Dekalb
Elmore County
Population Group:
Low Income - Autauga/Elmore/Montgomery
Escambia County
Population Group:
Low Income - Conecuh-Escambia
Etowah County
Population Group:
Facility:
Low Income - Etowah County
Quality of Life Health Services
Fayette County
Population Group:
Low Income-Fayette/Lamar
Franklin County
Population Group:
Low Income - Franklin County
Geneva County
Population Group:
Low Income - Dale/Geneva/Houston
Greene County
Population Group:
Low Income - Greene-Hale
Hale County
Population Group:
Low Income - Greene-Hale
Henry County
Population Group:
Low Income - Barbour/Henry
Houston County
Population Group:
Low Income - Dale/Geneva/Houston
Jackson County
Population Group:
Facility:
Low Income - Jackson
Northeast Alabama Health Services, Inc.
Jefferson County
Population Group:
Facility:
Low Income - Jefferson County
Birmingham Healthcare
Lamar County
Population Group:
Low Income-Fayette/Lamar
Lauderdale County
Population Group:
Low Income - Colbert/Lauderdale
Page 2 of 191 Pages
DENTAL CARE: Alabama
County and County Equivalent Listing
Lawrence County
Population Group:
Low Income - Lawrence/Morgan
Lee County
Population Group:
Low Income - Lee/Russell
Limestone County
Population Group:
Low Income - Limestone
Lowndes County
Population Group:
Low Income - Dental Care Area 19
Macon County
Population Group:
Facility:
Low Income - Bullock/Macon
Central Alabama Comprehensive Health, Inc.
Madison County
Population Group:
Facility:
Low Income - Central Huntsville
Central North Alabama Health Services
Marengo County
Population Group:
Low Income - Choctaw/Sumter/Marengo
Marion County
Population Group:
Low Income - Marion
Marshall County
Population Group:
Facility:
Low Income - Marshall
Marshall Family Health Clinic
Mobile County
Population Group:
Low Income - Mobile/Baldwin
Facility:
Bayou La Batre Area Health Development Board
Facility:
Family Oriented Primary Health Care
Facility:
Franklin Primary Health Center
Facility:
The Bayou Clinic
Monroe County
Population Group:
Low Income - Monroe-Wilcox County
Montgomery County
Population Group:
Facility:
Low Income - Autauga/Elmore/Montgomery
Health Services, Inc.
Morgan County
Population Group:
Low Income - Lawrence/Morgan
Perry County
Population Group:
Low Income - Dallas-Perry County
Pickens County
Population Group:
Low Income - Pickens County
Pike County
Population Group:
Facility:
Low Income - Crenshaw-Pike County
Southeast Alabama Rural Health Association
Page 3 of 191 Pages
DENTAL CARE: Alabama
County and County Equivalent Listing
Randolph County
Population Group:
Low Income - Randolph
Russell County
Population Group:
Low Income - Lee/Russell
St. Clair County
Population Group:
Low Income - St. Clair
Sumter County
Population Group:
Low Income - Choctaw/Sumter/Marengo
Talladega County
Population Group:
Facility:
Low Income - Talladega
Federal Correctional Institution - Talladega
Tallapoosa County
Population Group:
Low Income - Tallapoosa County
Tuscaloosa County
Population Group:
Facility:
Low Income - Bibb/Tuscaloosa
Whately Health Service
Walker County
Population Group:
Facility:
Low Income - Walker
Capstone Rural Health Center
Washington County
Population Group:
Low Income - Clarke - Washington County
Wilcox County
Population Group:
Low Income - Monroe-Wilcox County
Winston County
Population Group:
Low Income - Winston County
Page 4 of 191 Pages
DENTAL CARE: Alaska
County and County Equivalent Listing
Aleutians East Borough (Entire County HPSA)
Aleutians West Census Area
Facility:
Iliuliuk Family Health Center
Anchorage Borough
Facility:
Alaska Women's Resource Center
Facility:
Aleutians/Pribilof Islands Association
Facility:
Anchorage Community Mental Health Services
Facility:
Anchorage Neighborhood Health Center
Facility:
Eastern Aleutian Tribe, Inc.
Facility:
Ninilchik Traditional Council
Facility:
Southcentral Foundation
Bethel Census Area
Facility:
Bethel Family Clinic
Facility:
Yukon-Kuskokwim Health Corporation
Bristol Bay Borough
Service Area:
Bristol Bay Area
Facility:
Bristol Bay Borough
Facility:
Camai Community Health Center
Denali Borough (Entire County HPSA)
Dillingham Census Area
Service Area:
Bristol Bay Area
Facility:
Bristol Bay Area Health Corporation
Facility:
Eklutna Health Clinic
Facility:
Kanakanak Hospital
Fairbanks North Star Borough
Population Group:
Low Income - Fairbanks North Star Borough
Facility:
Chief Andrew Issac Health Center
Facility:
Dena' Nena' Henash
Facility:
Interior Community Health Center
Hoonah-Angoon Census Area (Entire County HPSA)
Kenai Peninsula Borough
Facility:
Peninsula Community Health Services of Alaska, Inc.
Facility:
Seldovia Village Health Center
Ketchikan Gateway Borough
Facility:
Ketchikan Indian Corporation
Kodiak Island Borough
Facility:
Kodiak Area Native Association
Facility:
Kodiak Island Health Care Foundation
Lake and Peninsula Borough
Service Area:
Bristol Bay Area
Matanuska-Susitna Borough
Facility:
Mat-Su Health Services
Page 5 of 191 Pages
DENTAL CARE: Alaska
County and County Equivalent Listing
Matanuska-Susitna Borough
Facility:
Scf Valley Native Primary Care Center
Facility:
Sunshine Community Health Center
Nome Census Area
Facility:
Norton Sound Health Corporation
North Slope Borough (Entire County HPSA)
Facility:
Samuel Simmonds Memorial Hospital
Northwest Arctic Borough (Entire County HPSA)
Facility:
Maniilaq Association
Sitka Borough
Facility:
Searhc\Mt. Edgecumbe Hospital
Facility:
Southeast Alaska Region Health Consortium
Skagway Municipality (Entire County HPSA)
Skagway-Hoonah-Angoon Census Area
Facility:
Dahl Memorial Clinic
Valdez-Cordova Census Area
Facility:
Cross Roads Medical Center
Facility:
Native Village of Eyak
Wrangell-Petersburg Census Area
Facility:
Alaska Island Community Services
Yakutat Borough (Entire County HPSA)
Facility:
Yakutat Community Health Center
Yukon-Koyukuk Census Area (Entire County HPSA)
Facility:
Council of Athabascan Tribal Government
Page 6 of 191 Pages
DENTAL CARE: Arizona
County and County Equivalent Listing
Apache County
Service Area:
Round Valley
Service Area:
Saint Johns
Population Group:
Low Income - White Mountain Apache Tribal Area
Facility:
Chinle Comprehensive Health Center
Facility:
Fort Defiance PHS Indian Hospital
Facility:
Navajo Division of Emergency Medical Services
Facility:
Navajo Division of Health
Facility:
Navajo Division of Social Services
Facility:
Navajo Health Foundation Dba Sage Memorial Hospita
Facility:
Sage Memorial Hospital
Facility:
Tsaile Indian Health Center
Cochise County
Service Area:
Bisbee Service Area
Service Area:
Douglas
Service Area:
Tombstone
Service Area:
Wilcox/Bowie
Population Group:
Low Income-Benson
Facility:
Arizona State Prison - Douglas
Facility:
Chiricahua Community Health Center
Facility:
Cooper Queen Medical Associates-Douglas
Facility:
Copper Queen Medical Associates-Bisbee
Facility:
Palominas/Hereford Rural Health Clinics
Coconino County
Service Area:
Hopi Nation
Service Area:
Hualapai Tribe Rational Service Area
Service Area:
Sedona
Service Area:
Williams
Facility:
Canyonlands Community Health Center
Facility:
Inscription House Health Center
Facility:
Kaibab-Paiute Tribe
Facility:
Naca Family Health Center
Facility:
Native Americans for Community Action
Facility:
North Country Community Health Center
Facility:
Sacred Peaks Health Center
Facility:
San Juan Southern Paiute Tribe
Facility:
Tuba City Regional Health Care Corporation
Gila County
Service Area:
Gila-Southern-Hayden
Service Area:
Gila-Young-Tonto Basin
Population Group:
Low Income - Gila-Northern-Young
Population Group:
Low Income - White Mountain Apache Tribal Area
Page 7 of 191 Pages
DENTAL CARE: Arizona
County and County Equivalent Listing
Gila County
Facility:
Bylas Health Center
Facility:
Pleasant Valley Community Medical Center
Facility:
San Carlos Apache Tribe
Facility:
Tonto Apache Tribe
Graham County
Service Area:
Bonita/Klondyke
Service Area:
Pima Service Area
Population Group:
Low Income - Graham Southern
Facility:
Arizona State Prison - Safford
Facility:
Federal Correctional Institution - Safford
Facility:
San Carlos PHS Indian Hospital
Greenlee County
Service Area:
Duncan
Service Area:
Morenci Service Area
La Paz County
Service Area:
Colorado River Indian Tribes
Service Area:
Parker
Service Area:
Quartzsite
Service Area:
Salome
Facility:
Colorado River Indian Community
Facility:
Parker PHS Indian Hospital
Maricopa County
Service Area:
Buckeye
Service Area:
Fort McDowell Mohave-Apache Indian Community
Service Area:
Gila Bend
Service Area:
Salt River Pima-Maricopa Indian Community
Service Area:
Wickenburg Service Area
Population Group:
Low Income - El Mirage/Luke
Population Group:
Low Income - Gila River Indian Community
Population Group:
Low Income - Phoenix-Central
Population Group:
Low Income - Phoenix-South Mountain
Population Group:
Low Income - Phoenix-Sunnyslope
Facility:
Arizona State Prison - Phoenix
Facility:
Arizona State Prison Complex-Perryville
Facility:
Aspc - Lewis
Facility:
Clinica Adelante, Inc.
Facility:
Community Hospital Clinic
Facility:
Federal Correctional Institution - Phoenix
Facility:
Fort McDowell Yavapai Nation
Facility:
Gila River Health Care Corporation
Facility:
Maricopa County Community Health Center
Page 8 of 191 Pages
DENTAL CARE: Arizona
County and County Equivalent Listing
Maricopa County
Facility:
Maricopa County Special Health Care District
Facility:
Mountain Park Health Center
Facility:
Native American Community Health Center - Dunlap
Facility:
Native American Community Health Center, I
Facility:
Neighborhood Outreach Access to Health
Facility:
Phoenix Indian Medical Center
Facility:
Salt River Clinic
Facility:
Wesley Community Center Inc.
Mohave County
Service Area:
Dolan Springs
Service Area:
Hualapai Tribe Rational Service Area
Service Area:
Littlefield
Population Group:
Low Income - Bullhead City
Population Group:
Low Income - Fort Mohave
Facility:
Hualapai Tribe
Facility:
Peach Springs PHS Indian Health Center
Navajo County
Service Area:
Heber-Overgaard
Service Area:
Hopi Nation
Service Area:
Winslow
Population Group:
Low Income - Show Low
Population Group:
Low Income - White Mountain Apache Tribal Area
Facility:
Arizona State Prison - Winslow
Facility:
Cibecue PHS Indian Health Center
Facility:
Health and Social Services Committee
Facility:
Hopi Health Care Center
Facility:
Kayenta PHS Indian Health Center
Facility:
Pinon Health Center
Facility:
White Mountain Apache Tribe
Facility:
Whiteriver Indian Health Services Hospital
Facility:
Winslow Indian Health Care Center
Pima County
Service Area:
Arivaca Service Area
Service Area:
Continental
Service Area:
Tucson-Central Service Area
Population Group:
Low Income - Tucson-West
Facility:
Ajo Community Health Center
Facility:
Arizona State Prison - Tucson
Facility:
El Rio Health Center
Facility:
Federal Correctional Complex - Tucson
Facility:
Marana Health Center
Page 9 of 191 Pages
DENTAL CARE: Arizona
County and County Equivalent Listing
Pima County
Facility:
Pascua Yaqui Tribe Health Programs
Facility:
San Xavier PHS Indian Health Center
Facility:
Sells PHS Indian Health Hosptial-Santa Rosa Clinic
Facility:
Sells PHS Indian Hospital
Facility:
Tohono O'Odham Nation
Facility:
Tucson Indian Center
Facility:
United Community Health Center
Pinal County
Service Area:
Florence
Service Area:
San Manuel
Population Group:
Low Income - Casa Grande
Population Group:
Low Income - Gila River Indian Community
Facility:
Ak-Chin Indian Community
Facility:
Aspc - Eyman
Facility:
Aspc - Florence
Facility:
Desert Visions Wellness Center
Facility:
Hu Hu Kam Memorial Hospital
Facility:
Immigration and Customs Enforcement - Eloy
Facility:
Immigration and Customs Enforcement - Florence
Facility:
Immigration and Customs Enforcement - Pinal County
Facility:
Kearny Clinic
Facility:
Rightway Healthcare LLC
Facility:
Sun Life Family Health Center
Facility:
Superior Clinic
Santa Cruz County
Service Area:
Nogales
Service Area:
Patagonia
Service Area:
Tubac Service Area
Facility:
Mariposa Community Health Center
Yavapai County
Service Area:
Bagdad
Service Area:
Cordes Junction
Service Area:
Hualapai Tribe Rational Service Area
Service Area:
Yavapai_South Service Area
Population Group:
Low Income - Chino Valley
Population Group:
Low Income - Yavapai-Northeast
Facility:
Yavapai County Health Department
Facility:
Yavapai-Apache Nation
Facility:
Yavapai-Prescott Tribe
Yuma County
Service Area:
Dateland
Page 10 of 191 Pages
DENTAL CARE: Arizona
County and County Equivalent Listing
Yuma County
Service Area:
San Luis
Service Area:
Somerton
Service Area:
Wellton
Service Area:
Yuma-West
Population Group:
Low Income - Yuma-East
Population Group:
Low Income - Yuma-North
Facility:
Arizona State Prison - Yuma
Facility:
Cocopah Tribe
Facility:
Sunset Community Health
Page 11 of 191 Pages
DENTAL CARE: Arkansas
County and County Equivalent Listing
Ashley County
Population Group:
Facility:
Low Income - Ashley County
Mainline Health System, Inc.
Benton County
Facility:
Decatur Medi Clinic
Bradley County
Population Group:
Low Income - Bradley County
Calhoun County
Population Group:
Facility:
Low Income - Calhoun County
Cabun Rural Health Services
Chicot County (Entire County HPSA)
Facility:
Lake Village Clinic, P.A.
Clay County
Facility:
Corning Area Health Care
Cleveland County (Entire County HPSA)
Columbia County
Population Group:
Low Income - Columbia County
Crittenden County
Facility:
East Arkansas Family Health
Cross County
Population Group:
Low Income - Cross
Dallas County (Entire County HPSA)
Desha County
Population Group:
Low Income - Desha County
Grant County
Population Group:
Low Income - Grant County
Howard County (Entire County HPSA)
Jackson County
Facility:
McPherson Correctional Unit/Newport
Jefferson County
Facility:
Jefferson Comprehensive Care System
Facility:
Pine Bluff Correctional Unit
Facility:
Randall Williams Correctional Facility
Lafayette County (Entire County HPSA)
Lee County (Entire County HPSA)
Facility:
Lee County Cooperative
Lincoln County
Facility:
Cummins Unit
Logan County
Facility:
Booneville Community and Fam Medical Clinic
Facility:
River Valley Primary Care Services
Page 12 of 191 Pages
DENTAL CARE: Arkansas
County and County Equivalent Listing
Monroe County
Facility:
Mid-Delta Health Systems, Inc.
Nevada County
Population Group:
Low Income - Nevada County
Ouachita County
Population Group:
Low Income - Ouachita
Perry County (Entire County HPSA)
Phillips County (Entire County HPSA)
Polk County
Population Group:
Facility:
Low Income - Polk
Healthy Connections
Searcy County
Facility:
Boston Mountain Rural
Facility:
Marshall Family Practice Clinic
Sharp County
Population Group:
Low Income - Sharp County
St. Francis County
Facility:
Federal Correctional Institution - Forrest City
Washington County
Facility:
St. Francis House NWA, Inc.
Woodruff County
Facility:
White River Rural Health Center
Page 13 of 191 Pages
DENTAL CARE: California
County and County Equivalent Listing
Alameda County
Facility: Alameda County Health Department
Facility: Asian Health Services
Facility: Axis Community Health
Facility: Childrens Hospital
Facility: Federal Correctional Institution - Dublin
Facility: La Clinica De La Raza
Facility: Lifelong Medical Care
Facility: Native American Health Center
Facility: Tiburcio Vasquez Health Center
Facility: Tri-City Health Center
Facility: West Oakland Health Council
Amador County
Facility: Jackson Rancheria Health Complex
Butte County
Facility: Chuk Ndule Medical Center-Gridley
Facility: Feather River Hospital Family Health Center
Facility: Ndulue Medical Practice-Oroville
Facility: Northern Valley Indian Health - Chico
Facility: Northern Valley Indian Health-Cohasset
Colusa County
Facility: Colusa Indian Community Council
Contra Costa County
Facility:
Contra Costa County Health
Del Norte County
Population Group:
Facility:
Low Income - MSSA 19 Del Norte County
Sutter Coast Community Clinic
El Dorado County
Population Group:
Low Income - MSSA 24/South Lake Tahoe
Facility:
El Dorado Community Health Center
Facility:
Shingle Springs Tribal Health Program
Facility:
Western Sierra Medical Center-Camino
Fresno County
Service Area:
MSSA 25/Firebaugh/Mendota
Service Area:
MSSA 26/San Joaquin - Tranquility
Facility:
Adventist Health Community Care
Facility:
Adventist Health Community Care-Caruthers
Facility:
Adventist Health Community Care-Coalinga
Facility:
Adventist Health Community Care-Huron
Facility:
Adventist Health Community Care-Kerman
Facility:
Adventist Health Community Care-Kingsburg
Facility:
Adventist Health Community Care-Sanger
Page 14 of 191 Pages
DENTAL CARE: California
County and County Equivalent Listing
Fresno County
Facility:
Adventist Health Community Care-Selma
Facility:
Adventist Healthcommunity Care-Fowler
Facility:
Central Valley Indian Health Inc.
Facility:
Federal Correctional Institution - Mendota
Facility:
Greater Fresno Health Organization
Facility:
United American Indian Involvement-Fresno
Facility:
United Health Centers of San Joaquin Valley
Facility:
Valley Family Health Center-Caruthers
Facility:
Valley Family Health Center-Coalinga
Facility:
Valley Family Health Center-Kerman
Facility:
Valley Family Health Center-Riverdale
Facility:
Valley Family Health Center-Selma
Facility:
Valley Health Team
Glenn County
Facility:
Northern Valley Indian Health
Humboldt County
Population Group:
Low Income - MSSAs 39 and 40 (Eureka/McKinleyville)
Population Group:
Low Income-MSSA 42/Fortuna/Rio Dell
Population Group:
Low Income-MSSA 44/Garverville/Redway
Facility:
Correctional Training Facility - Soledad
Facility:
Hoopa Valley Tribe
Facility:
Open Door Community Health Centers
Facility:
Redwoods Rural Health Center
Facility:
United Indian Health Service - Potowat
Imperial County
Facility:
Calexico Health Center
Facility:
Clinicas De Salud Del Pueblo
Facility:
Fort Yuma
Inyo County
Facility:
Toiyabe Indian Health Project
Kern County
Population Group:
Low Income - MSSA 58.1/Shafter
Population Group:
Low Income/Migrant Farmworker - MSSA 62/Tehachapi
Population Group:
Low Income/Migrant Farmworker-MSSA 57.2/Taft
Population Group:
Low Income/Migrant Farmworker-MSSA 64/Inyokern/Ridgecrest
Facility:
Beverly Medical Center II
Facility:
California Correctional Institution - Kern
Facility:
Clinica Sierra Vista
Facility:
National Health Services, Inc.
Facility:
Sage Community Health Center
Facility:
United American Indian Involvement-Bakersfield
Page 15 of 191 Pages
DENTAL CARE: California
County and County Equivalent Listing
Kings County
Service Area:
MSSA 67/Avenal
Facility:
Adventist Health Community Care - Corcoran
Facility:
Adventist Health Community Care-Avenal
Facility:
Adventist Health Community Care-Hanford
Facility:
Adventist Health Community Care-Home Garden
Facility:
Adventist Health Community Care-Kettleman City
Facility:
Adventist Health Community Care-Lemoore
Facility:
Avenal Community Health Center
Facility:
Avenal State Prison
Facility:
Campus Family Health Medical Center
Facility:
Central Valley Family
Facility:
Health Valley Medical Group, Inc.
Facility:
Valley Family Health Center-Armona
Facility:
Valley Family Health Center-Avenal
Facility:
Valley Family Health Center-Corcoran
Facility:
Valley Family Health Center-Hanford
Facility:
Valley Family Health Center-Lemoore
Facility:
Valley Family Health Center-Mall Dr.
Lake County
Facility:
Lake County Tribal Health Consortium
Facility:
Middletown Medical Clinic
Lassen County
Service Area:
MSSA 73/100 - Bieber/Adin
Population Group:
Low Income - MSSAs 72, 74 and 75 (Susanville/Honeylake)
Facility:
Federal Correctional Institution - Herlong
Facility:
Lassen Indian Health Center
Facility:
Mountain Valleys Health Centers, Inc.
Facility:
Northeastern Rural Health Clinics
Los Angeles County
Population Group:
Low Income - MSSA 78.2L/Exposition Park/Leimert PA
Population Group:
Low Income/Homeless-MSSA 78.2MMM/Downtown Southeast
Facility:
All for Health, Health for All
Facility:
All-Inclusive Community Health Center
Facility:
Alta Medical Health Services Corporation
Facility:
American Indian Healing Center
Facility:
Antelope Valley Community Clinic
Facility:
Arroyo Vista Family Health
Facility:
Asian/Pacific Health Care Venture
Facility:
Bartz-Altadonna Community Health Center
Facility:
Benevolence Industries
Facility:
Bienvenidos Community Health Center
Page 16 of 191 Pages
DENTAL CARE: California
County and County Equivalent Listing
Los Angeles County
Facility:
Central Neighborhood Health Foundation
Facility:
Chinatown Service Center
Facility:
Clinica Monsenor Oscar a. Romero
Facility:
Community Health Alliance of Pasadena
Facility:
Comprehensive Community Health Centers, Inc.
Facility:
Crenshaw Community
Facility:
Desert AIDS Project
Facility:
East Valley Community Health Center
Facility:
Eisner Pediatric and Family
Facility:
El Proyecto Del Barrio-Arleta
Facility:
Family Health Care Centers of Gtr La
Facility:
Federal Correctional Institution - Terminal Island
Facility:
Garfield Health Center
Facility:
Harbor Free Clinic
Facility:
JWCH/Clinic Institute
Facility:
Korean Health, Educ., Info and Research (Kheir) Ce
Facility:
Los Angeles Christian Health Center
Facility:
Los Angeles Gay and Lesbian Center
Facility:
Metropolitan Detention Center - Los Angeles
Facility:
Mission City Community
Facility:
Northeast Community Clinic (Necc)
Facility:
Northeast Valley Health
Facility:
Queenscare Family Clinic
Facility:
Saint Anthony Medical
Facility:
Samuel Dixon Family Health Center
Facility:
South Bay Family Healthcare Center
Facility:
South Central Family Health
Facility:
St. John's Well Child and Family Center
Facility:
T.H.E. Clinic
Facility:
The Children's Clinic
Facility:
The Saban Free Clinic
Facility:
United American Indian Involvement
Facility:
Universal Community Health Center
Facility:
Universal Health Foundation
Facility:
University Muslim Medical Association Community Cl
Facility:
Valley Community Clinic
Facility:
Venice Family Clinic-Venice
Facility:
Watts Healthcare Corporation
Facility:
Westside Family Health Center
Facility:
Wilmington Community Clinic
Page 17 of 191 Pages
DENTAL CARE: California
County and County Equivalent Listing
Madera County
Population Group:
Low Income/Migrant Farmworker-MSSA 79.2/Chowchilla
Population Group:
Low Income/Migrant Farmworker-MSSA 80/Madera
Facility:
Charlie Mitchell Children Clinic
Facility:
Darin Camarena Health Center
Marin County
Facility:
California State Prison - San Quentin
Facility:
Coastal Alliance Health
Facility:
Marin City Health and Wellness Center
Facility:
Marin Community Clinic
Mendocino County
Service Area:
MSSA 87.1/Boonville, Navarro, Philo, Yorkville
Population Group: Low Income/Migrant Farmworker/Homeless - MSSA 90 (Laytonville/Leggett)
Facility:
Anderson Valley Health
Facility:
Consolidated Tribal Health Project, Inc.
Facility:
Long Valley Health Center
Facility:
Mendocino Coast Clinics, Inc.
Facility:
Mendocino Community
Facility:
Potter Valley Community Health Center
Facility:
Redwood Coast Medical Center
Facility:
Round Valley Indian Health Center
Merced County
Service Area:
MSSA 25/Firebaugh/Mendota
Population Group:
MSSA 95 Low Income-Ballico/Cressey/Delhi/Hilmar
Facility:
Bloss Memorial Hospital District
Facility:
Castle Family Health Center
Facility:
Golden Valley Health Center
Facility:
Livingston Community Health Services
Facility:
United States Penitentiary - Atwater
Modoc County
Service Area:
MSSA 73/100 - Bieber/Adin
Facility:
Canby Family Practice Clinic
Facility:
Surprise Valley Medical Clinic
Mono County
Population Group:
Low Income - MSSA 102 and 103 - Benton/Mammoth Lakes
Monterey County
Population Group:
Low Income - MSSA 105/King City
Population Group:
Low Income/Migrant Farmworker - MSSA 109.2 - Salinas/Spreckels
Facility:
Clinica De Salud Del Valle
Facility:
Monterey County Health Department
Page 18 of 191 Pages
DENTAL CARE: California
County and County Equivalent Listing
Napa County
Facility:
Community Health Clinic Ole
Nevada County
Facility:
Chapa-De Indian Health Program-Grass Valley
Facility:
Miners Community Clinic
Facility:
Sierra Family Medical Clinic, Inc.
Orange County
Facility:
Asian Health Center
Facility:
Casa De Salud Clinic Dba (Ocrm Health Care
Facility:
Central City Community Health Centers - Anaheim
Facility:
Mission Hospital's Camino Health Center
Facility:
North Orange County Regional Health Foundation
Facility:
Share Our Selves (Sos)
Facility:
University of California-Irvine Family Health
Placer County
Facility:
Chapa De Indian Health Program, Inc.
Plumas County
Facility:
Plumas Rural Health Center
Riverside County
Facility:
Centro Medico Community Clinic, Inc.
Facility:
Chuckawalla Valley State Prison
Facility:
Community Health Systems, Inc.
Facility:
County of Riverside
Facility:
County of Riverside Community Health Agency (Crcha)
Facility:
Santa Rosa Del Valle
Facility:
Urban Community Action Projects
Sacramento County
Facility:
California Rural Indian Health Board, Inc.
Facility:
California State Prison - Sacramento
Facility:
Folsom State Prison - Sacramento
Facility:
Health for All, Inc.
Facility:
Sacramento Community Clinic
Facility:
Sacramento County Department of Health
Facility:
Sacramento Native American Health Center, Inc.
Facility:
The Effort
San Benito County
Facility:
San Benito Health Foundation
San Bernardino County
Facility:
California Institution for Men - San Bernardino
Facility:
Federal Correctional Complex - Victorville
Facility:
Inland Behavioral and Health Services
Facility:
San Bernardino County Health Center
Page 19 of 191 Pages
DENTAL CARE: California
County and County Equivalent Listing
San Bernardino County
Facility:
Sean R. Thomas, MD
Facility:
Social Action Community Health System
Facility:
Torres-Martinez Indian Health Council
San Diego County
Population Group:
Low Income - MSSA 161C/Golden Hill/Logan Heights
Population Group:
Low Income-MSSA 159/Campo/Jacumba
Facility:
Borrego Community Health Foundation
Facility:
Campo Clinic
Facility:
Family Health Centers of San Diego
Facility:
Immigration and Customs Enforcement - San Diego
Facility:
Imperial Beach Community Clinic
Facility:
Indian Health Council, Inc.
Facility:
La Maestra Family Clinic
Facility:
Metropolitan Corrections Center - San Diego
Facility:
Mountain Health
Facility:
Neighborhood Healthcare/Escondido
Facility:
North County Health Services
Facility:
Operation Samahan, Inc.
Facility:
San Diego American Indian Health Center
Facility:
San Diego Family Care
Facility:
San Ysidro Health Center
Facility:
Southern Indian Health Council
Facility:
St. Vincent De Paul Village
Facility:
Sycuan Band of Mission Indians
Facility:
Vista Community Clinic
San Francisco County
Facility:
Mission Area Health
Facility:
Northeast Medical Services
Facility:
San Fransico Community Clinic Consortium
Facility:
South of Market Health Center
San Joaquin County
Facility:
Community Medical Centers, Inc.
Facility:
Northern California Youth Correctional Center
San Luis Obispo County
Population Group:
Low Income - El Paso De Robles (MSSA 173)
Population Group:
Low Income-MSSA 172/San Luis Obispo
Facility:
Community Health Centers of Central Coast
San Mateo County
Facility:
San Mateo County Health Services Agency
Facility:
South County Community Health Center
Page 20 of 191 Pages
DENTAL CARE: California
County and County Equivalent Listing
Santa Barbara County
Population Group:
Low Income/Migrant Farmworker - MSSA 180.1/Orcutt/Santa Maria
Facility:
American Indian Health and Services Corporation
Facility:
Federal Correctional Complex - Lompoc
Facility:
Santa Barbara County Health
Facility:
Santa Ynez Band of Mission Indians
Santa Clara County
Facility:
Asian Americans for Community Involvemen
Facility:
Gardner Family Health
Facility:
Indian Health Center of Santa Clara
Facility:
Mayview Community Health Center
Facility:
San Jose Foothills Family Community Clinic
Facility:
Santa Clara Valley Health and Hospital
Facility:
School Health Clinics of San Jose
Santa Cruz County
Facility:
County of Santa Cruz Health Services
Facility:
Salud Para La Gente
Facility:
Santa Cruz Women's Health Center
Shasta County
Service Area:
MSSA 187-Castella, Lakehead, O
Service Area:
MSSA 188.1 - Big Bend/Montgomery Creek/Oak Run
Population Group:
Low Income - MSSA 189.3/Bella Vista
Population Group:
Low Income-MSSA 188.2/Shingletown
Population Group:
Low Income-MSSA 189.2/Redding
Population Group:
MSSA 186/Anderson/Cottonwood/French Gulch/Happy Va
Facility:
Hill Country Community Clinic
Facility:
Shasta Community Health Center
Facility:
Shingletown Medical Center
Sierra County
Population Group:
Facility:
Low Income - Sierra County
Western Sierra Medical Clinic
Siskiyou County
Service Area:
MSSAs 196 and 200 (Tulelake/Dorris)
Facility:
Fairchild Medical Group, Inc.
Facility:
Karuk Tribe of California
Facility:
McCloud Healthcare Clinic
Facility:
Mercy Mt. Shasta Community Clinic
Facility:
Quartz Valley Indian Reservation
Solano County
Facility:
California Medical Facility - Solano
Facility:
Solano County Health and Social Services
Page 21 of 191 Pages
DENTAL CARE: California
County and County Equivalent Listing
Sonoma County
Facility:
Alliance Medical Center
Facility:
Copper Towers Family Medical Clinic
Facility:
Petaluma Health Center
Facility:
Santa Rosa Community Health Centers
Facility:
Sonoma County Indian Health
Facility:
Sonoma Valley Community Health Center
Facility:
West County Health Centers, Inc.
Stanislaus County
Facility:
Oakdale Community Health Center
Facility:
Stanislaus County
Sutter County
Facility:
Ampla Health (Formerly) Del Norte Clinics, Inc.
Tehama County
Service Area:
MSSA 219/West Tehama
Service Area:
MSSA 220/Dairyville/Manton/Mineral/Paynes Creek
Population Group:
Low Income-Migrant Farmworker-MSSA 221 and 222-Red Bluff/Corning
Facility:
Northern Valley Indian Health Inc. - Dental
Facility:
Rolling Hills Clinic
Trinity County
Population Group:
Low Income - MSSA 225/Hayfork
Population Group:
Low Income-MSSA 223 and 224/Junction City/Weaverville
Population Group:
Low Income-MSSA 226/Mad River/Ruth/Zenia
Facility:
Southern Trinity Health Services
Tulare County
Facility:
Alta Family Health Clinic, Inc.
Facility:
Family Care/Tulare City
Facility:
Family Healthcare Network
Facility:
Tulare Community Health
Facility:
Tulare County Health
Tuolumne County
Service Area:
MSSA 234.1 (Chinese Camp)
Population Group:
Low Income-MSSA 234.2 and 236 - Sonora/Phoenix Lake
Facility:
Forest Road Health and Wellness Center
Facility:
M.A.C.T. Health Board, Inc.
Ventura County
Population Group:
Low Income/Migrant Farmworker - MSSA 238/Ojai
Population Group:
Low Income/Migrant Farmworker/H - MSSA 241A/Oxnard Central
Population Group:
Low Income/Migrant Farmworker-MSSA 237/Santa Paula
Population Group:
Low Income/Migrant Farmworker-MSSA 241B/Oxnard North Central
Facility:
Clinicas Del Camino
Facility:
Ventura County Public Healthcare Agency
Page 22 of 191 Pages
DENTAL CARE: California
County and County Equivalent Listing
Yolo County
Facility:
Communicare Health Center
Facility:
MMC for Children and Families
Facility:
Northern Valley Indian Health-Woodland
Facility:
The Midtown Medical Center for Children and Families
Facility:
Winters Healthcare Foundation
Yuba County
Service Area:
MSSA 247 - Challenge - Brownsville
Facility:
Chuk Ndule, MD
Facility:
Peach Tree Clinic
Page 23 of 191 Pages
DENTAL CARE: Colorado
County and County Equivalent Listing
Adams County
Population Group:
Low Income - Adams West
Facility:
Childrens Hospital Pediatric Dental Clinic
Facility:
Regents of the University of Colorado
Alamosa County
Population Group:
Facility:
Low Income - Alamosa County
Valley-Wide Health Services
Arapahoe County
Facility:
Metro Community Provider Network
Archuleta County
Population Group:
Low Income - Archuleta County
Baca County
Population Group:
Low Income - Baca County
Bent County (Entire County HPSA)
Boulder County
Facility:
Clinica Campesina
Chaffee County
Population Group:
Low Income - Chaffee County
Cheyenne County
Population Group:
Low Income - Cheyenne County
Conejos County
Population Group:
Low Income - Conejos
Costilla County (Entire County HPSA)
Crowley County (Entire County HPSA)
Facility:
Arkansas Valley Correctional
Custer County (Entire County HPSA)
Delta County
Population Group:
Facility:
Low Income - Delta County
Surface Creek Family Practice
Denver County
Facility:
Colorado Coalition for the Homeless
Facility:
Denver Health and Hospital
Facility:
Denver Indian Health and Family Services
Facility:
Denver Reception and Diagnostic Center
Dolores County
Facility:
Dolores County Health Association
El Paso County
Facility:
Peak Vista Communith Health Centers, Inc.
Fremont County
Population Group:
Low Income - Fremont County
Facility:
Button Family Practice, P.C.
Facility:
Centennial Correctional Facility
Page 24 of 191 Pages
DENTAL CARE: Colorado
County and County Equivalent Listing
Fremont County
Facility:
Colorado State Penitentiary
Facility:
Federal Correctional Complex - Florence
Facility:
Fremont Correctional Facility
Garfield County
Service Area:
Western Garfield
Gilpin County (Entire County HPSA)
Facility:
Mountain Family Health Center
Grand County (Entire County HPSA)
Gunnison County
Population Group:
Low Income - Gunnison
Hinsdale County
Population Group:
Low Income - Hinsdale County
Huerfano County
Population Group:
Low Income - Huerfano County
Jackson County (Entire County HPSA)
Jefferson County
Facility:
Federal Correctional Institution - Englewood
Kiowa County (Entire County HPSA)
Kit Carson County
Population Group:
Low Income - Kit Carson County
La Plata County
Facility:
Southern Ute Health Center (Tribal)
Lake County
Population Group: Low Income - Lake County
Larimer County
Population Group: Low Income - Fort Collins Northern Service Area
Las Animas County
Population Group: Low Income - Las Animas County
Lincoln County
Facility:
Limon Correctional Facility
Facility:
Plains Medical Center
Logan County
Population Group:
Facility:
Low Income - Logan County
Sterling Correctional Facility
Mineral County (Entire County HPSA)
Moffat County
Facility:
Northwest Colorado Community Health Center
Montezuma County
Population Group:
Facility:
Low Income - Montezuma County
Ute Mountain Ute Health Program
Page 25 of 191 Pages
DENTAL CARE: Colorado
County and County Equivalent Listing
Montrose County
Service Area:
Western San Miguel and Western Montrose
Population Group:
Facility:
Low Income - Eastern Montrose
Olathe Community Clinic
Morgan County
Population Group:
Low Income - Morgan County
Otero County (Entire County HPSA)
Park County (Entire County HPSA)
Phillips County (Entire County HPSA)
Prowers County
Population Group:
Facility:
Low Income - Prowers County
High Plains Community Health Center
Pueblo County
Population Group:
Facility:
Low Income - Pueblo County
Pueblo Community Health Center
Rio Blanco County
Population Group:
Low Income - Rio Blanco East
Rio Grande County
Population Group:
Low Income - Rio Grande County
Saguache County (Entire County HPSA)
San Juan County (Entire County HPSA)
San Miguel County
Service Area:
Facility:
Western San Miguel and Western Montrose
Uncompahgre Combined Community Health Center
Sedgwick County
Population Group:
Low Income - Sedgwick County
Summit County
Facility:
Summit Community Care Clinic
Washington County (Entire County HPSA)
Weld County
Population Group:
Low Income - Weld County
Facility:
Plan De Salud Del Valle
Facility:
Sunrise Community Health
Yuma County
Population Group:
Low Income - Yuma County
Page 26 of 191 Pages
DENTAL CARE: Connecticut
County and County Equivalent Listing
Fairfield County
Population Group:
Low Income - Bridgeport
Population Group:
Low Income - Danbury
Population Group:
Low Income - Norwalk
Population Group:
Low Income - Southend Stamford
Facility:
Federal Correctional Institution - Danbury
Facility:
Norwalk Community Health Center
Facility:
Optimus Health Care, Inc.
Hartford County
Population Group:
Low Income - Bristol Service Area
Population Group:
Low Income - Central New Britain
Population Group:
Low Income - East Hartford
Population Group:
Low Income - Hartford
Population Group:
Low Income - Manchester Service Area
Population Group:
Low Income - Northwest Enfield
Facility:
Charter Oak Health Center, Inc.
Facility:
Community Health Service
Facility:
East Hartford Community Health Center
Litchfield County
Population Group:
Facility:
Low Income - Torrington/Winchester
Community Health and Wellness Center
Middlesex County
Population Group:
Low Income - Central Middletown
Facility:
Community Health Center of Middletown
Facility:
Southwest Community Health Center
New Haven County
Population Group:
Low Income - Ansonia
Population Group:
Low Income - New Haven/West Haven
Population Group:
Low Income - Waterbury
Population Group:
Low Income Meriden
Facility:
Cornell Scott-Hill Health Corporation
Facility:
Fair Haven Community Health
Facility:
Staywell Health Center, Inc.
New London County
Population Group:
Low Income - Groton
Population Group:
Low Income - New London
Population Group:
Low Income - Norwich
Facility:
Mashantuckey Pequot Tribal Nation
Facility:
United Community and Family Services, Inc.
Tolland County
Population Group:
Low Income - Mansfield
Page 27 of 191 Pages
DENTAL CARE: Connecticut
County and County Equivalent Listing
Windham County
Population Group:
Low Income - Danielson
Population Group:
Low Income - Town of Windham
Facility:
Generations Family Health
Page 28 of 191 Pages
DENTAL CARE: Delaware
County and County Equivalent Listing
Kent County (Entire County HPSA)
New Castle County
Service Area:
Wilmington
Facility:
Henrietta Johnson Medical
Facility:
Westside Health Services
Sussex County
Population Group:
Facility:
Low Income - Sussex County
La Red Health Center, Inc.
Page 29 of 191 Pages
DENTAL CARE: District of Columbia
County and County Equivalent Listing
District of Columbia
Population Group:
Homeless - Downtown D.C.
Population Group:
Low Income-Anacostia
Facility:
Community of Hope
Facility:
Elaine Ellis Center of Health
Facility:
Family and Medical Counseling Service
Facility:
La Clinica Del Pueblo
Facility:
Mary's Center for Maternal and Child Care
Facility:
Spanish Catholic Center
Facility:
Unity Health Care, Inc.
Facility:
Whitman Walker Clinic
Page 30 of 191 Pages
DENTAL CARE: Florida
County and County Equivalent Listing
Alachua County
Facility:
Children's Medical Center @ Alachua
Facility:
Gainesville Correctional Facility
Baker County
Population Group:
Low Income - Baker County
Facility:
Baker Correctional Institution
Facility:
Children's Medical Center-Glen St. Mary
Bay County
Population Group:
Facility:
Low Income - Bay County
Pancare of Florida, Inc.
Bradford County
Population Group:
Low Income - Bradford County
Brevard County
Population Group:
Low Income - Melbourne/Palm Bay
Population Group:
Low Income - Merritt Island
Population Group:
Low Income - Titusville/Rockledge
Facility:
The Brevard Health Alliance, Inc.
Broward County
Population Group:
Low Income - Davie
Population Group:
Low Income - Ft. Lauderdale
Facility:
Broward Community and Family Health Center
Facility:
North Broward Hospital District/Homeless
Facility:
Seminole Tribe of Florida-Health Admin
Calhoun County
Population Group:
Facility:
Low Income/Migrant Farmworker - Calhoun
Calhoun Correctional Institution
Charlotte County
Population Group:
Facility:
Low Income - Port Charlotte
Charlotte Correctional Institute
Citrus County
Population Group:
Facility:
Low Income - Citrus
Citrus County Health Department
Collier County
Population Group:
Low Income/Migrant Farmworker-Immokalee/Everglades
Facility:
Collier Health Service
Facility:
Immokalee Health Center
Columbia County
Population Group:
Low Income - Columbia County
Facility:
Children's Medical Center
Facility:
Children's Medical Center-State Road
Facility:
Columbia Correctional Institution
Facility:
Columbia County Health Center
Page 31 of 191 Pages
DENTAL CARE: Florida
County and County Equivalent Listing
DeSoto County
Population Group:
Facility:
Low Income/Migrant Farmworker - Desoto
Desoto Correctional Institution
Dixie County
Population Group:
Facility:
Low Income - Dixie County
Cross City Correctional Institution
Duval County
Population Group:
Low Income - Atlantic Beach
Population Group:
Low Income - Baldwin
Population Group:
Low Income - East Jacksonville
Population Group:
Low Income - Jacksonville
Population Group:
Low Income - South Jacksonville
Population Group:
Low Income - West Jacksonville
Facility:
Duval County Health Department
Facility:
I.M. Sulzbacher Center for the Homeless
Escambia County
Population Group:
Low Income - Escambia
Facility:
Century Correctional Institution
Facility:
Escambia Community Clinics Inc.
Franklin County
Population Group:
Facility:
Low Income - Franklin
Franklin Correctional Institution
Gadsden County
Population Group:
Low Income/Migrant Farmworker - Gadsden County
Gilchrist County
Population Group:
Low Income/Migrant Farmworker - Gilchrist
Facility:
Lancaster Correctional Institution
Facility:
Trenton Medical Center
Glades County
Population Group:
Low Income/Migrant Farmworker - Glades County
Gulf County
Facility:
Gulf Correctional Institution
Facility:
Gulf County Health Department
Hamilton County
Population Group:
Facility:
Low Income/Migrant Farmworker - Hamilton
Hamilton Correctional Institution
Hardee County
Population Group:
Facility:
Low Income/Migrant Farmworker - Hardee County
Hardee Correctional Institution
Hendry County
Population Group:
Facility:
Low Income/Migrant Farmworker - Hendry
Big Cypress Indian Health Service Center
Page 32 of 191 Pages
DENTAL CARE: Florida
County and County Equivalent Listing
Hernando County
Population Group:
Low Income - Hernando County
Facility:
Hernando Correctional Institution
Facility:
Nature Coast Community Health Center
Highlands County
Population Group:
Low Income/Migrant Farmworker - Highlands
Facility:
Avon Park Correctional Institution
Facility:
Central Florida Health
Facility:
Family Practice Center of Avon Park
Hillsborough County
Population Group:
Low Income - East Tampa/Ybor City
Population Group:
Low Income - Plant City/Dover
Population Group:
Low Income - Port of Tampa
Population Group:
Low Income - Ruskin
Population Group:
Low Income - Suitcase City
Facility:
Suncoast Community Health Centers
Facility:
Tampa Community Health Centers
Holmes County
Population Group:
Facility:
Low Income - Holmes County
Holmes Correctional Institution
Indian River County
Population Group:
Low Income - Fellsmere
Population Group:
Low Income - Vero Beach
Facility:
Treasure Coast Community Health Center
Jackson County
Population Group:
Low Income/Migrant Farmworker - Jackson County
Facility:
Apalachee Correctional Institution
Facility:
Federal Correctional Institution - Marianna
Facility:
Jackson Correctional Institution
Jefferson County
Population Group:
Facility:
Low Income/Migrant Farmworker - Jefferson County
Jefferson Correctional Institution
Lafayette County
Facility:
Mayo Correctional Institution
Lake County
Population Group:
Low Income/Migrant Farmworker - Lake County
Facility:
Gchn-Umatilla Health Clinic
Facility:
Lake Correctional Institution
Lee County
Population Group:
Low Income - Bonita Springs
Population Group:
Low Income - Fort Myers
Population Group:
Low Income - Lehigh Acres
Page 33 of 191 Pages
DENTAL CARE: Florida
County and County Equivalent Listing
Lee County
Population Group:
Facility:
Low Income - North Fort Myers
Family Health Centers of Southwest Florida
Leon County
Population Group:
Low Income - Leon County
Facility:
Bond Community
Facility:
Federal Correctional Institution - Tallahassee
Facility:
North Florida Medical Centers, Inc.
Levy County
Population Group:
Facility:
Low Income - Levy County
Chiefland Medical Center, Inc.
Liberty County (Entire County HPSA)
Facility:
Liberty Correctional Institution
Facility:
Liberty County Public Health
Madison County
Population Group:
Low Income/Migrant Farmworker - Madison County
Facility:
Four Freedoms Health Services
Facility:
Madison Correctional Institution
Manatee County
Population Group:
Low Income - Bradenton
Population Group:
Low Income - Palmetto/Parrish
Facility:
Manatee County Rural Health Services, Inc.
Marion County
Population Group:
Low Income/Migrant Farmworker Marion
Facility:
Heart of Florida Health Center, Inc.
Facility:
Lowell Correctional Facility - Annex
Facility:
Lowell Correctional Institution
Facility:
Lowell Reception Center
Facility:
Marion Correctional Institution
Miami-Dade County
Population Group:
Low Income - Biscayne Park
Population Group:
Low Income - Golden Glades
Population Group:
Low Income - Hialeah
Population Group:
Low Income - Homestead
Population Group:
Low Income - Liberty City
Population Group:
Low Income - Little Havana
Population Group:
Low Income - Norland
Population Group:
Low Income - North Beach
Population Group:
Low Income - North Miami
Population Group:
Low Income - North Miami Beach
Population Group:
Low Income - Opa Locka
Population Group:
Low Income - South Beach
Page 34 of 191 Pages
DENTAL CARE: Florida
County and County Equivalent Listing
Miami-Dade County
Population Group:
Low Income - Sweetwater
Population Group:
Low Income - West Perrine
Population Group:
Low Income - Wynwood
Facility:
Banyan Community Health Center
Facility:
Borinquen Healthcare
Facility:
Camillus Health Concern, Inc.
Facility:
Citrus Health Network, Inc.
Facility:
Community AIDS Resource/Dba Care Resours
Facility:
Community Health of South Dade
Facility:
Dade Correctional Institution
Facility:
Federal Correctional Institution - Miami
Facility:
Federal Detention Center - Miami
Facility:
Immigration and Customs Enforcement - Krome
Facility:
Jessie Trice Community Health Center, Inc.
Facility:
Miami Beach Community
Monroe County
Facility:
Rural Health Network of Monroe County Florida, Inc.
Okaloosa County
Population Group:
Facility:
Low Income - North Okaloosa
Okaloosa Correctional Institution
Okeechobee County
Facility:
Brighton Health Center
Orange County
Population Group:
Low Income - Alafaya
Population Group:
Low Income - Apopka
Population Group:
Low Income - Hoffner
Population Group:
Low Income - North Winter Park
Population Group:
Low Income - Parramore
Population Group:
Low Income - Pine Hills
Population Group:
Low Income - South Winter Park
Population Group:
Low Income - Southwest Orange
Population Group:
Low Income - Winter Garden/Ocoee
Facility:
Central Florida Reception Center
Facility:
Community Health Centers, Inc.
Facility:
Health Care Center for the Homeless, Inc.
Osceola County
Facility:
Primary Care Medical Services of Poinciana
Palm Beach County
Population Group:
Low Income - West Palm Beach
Population Group:
Low Income/Migrant Farmworker - Belle Glade/Pahoke
Facility:
C.L. Brumback Health Center
Page 35 of 191 Pages
DENTAL CARE: Florida
County and County Equivalent Listing
Palm Beach County
Facility:
Florida Community Health Centers, Inc.
Facility:
Foundcare Health Center
Facility:
Genesis Community Health
Facility:
Glades Correctional Institution
Facility:
South Bay Correctional Facility
Pasco County
Population Group:
Low Income - Pasco County
Facility:
Premier Community Health Care Group
Facility:
Zephyrhills Correctional Institution
Pinellas County
Population Group:
Low Income - Bayview
Population Group:
Low Income - Clearwater
Population Group:
Low Income - Largo
Population Group:
Low Income - Pinellas Park
Population Group:
Low Income - St. Petersburg
Population Group:
Low Income - Tarpon Springs
Facility:
Community Health Centers of Pinellas County
Facility:
Pinellas County Board of County Commissioners/Huma
Polk County
Population Group:
Facility:
Low Income/Migrant Farmworker - Polk County
Polk Correctional Institution
Putnam County
Population Group:
Low Income - Putnam
Facility:
Rural Healthcare, Inc.
Facility:
Sunrise Primary Care
Santa Rosa County
Population Group:
Facility:
Low Income - North Santa Rosa
Santa Rosa Correctional Institution
Sarasota County
Population Group:
Low Income - North Port/South Venice
Population Group:
Low Income - Sarasota Service Area
Facility:
Sarasota County Health Department
Seminole County
Facility:
Central Florida Family Health Center
St. Johns County
Population Group:
Low Income - West St. Johns
St. Lucie County
Population Group:
Low Income/Migrant Farmworker - St. Lucie County
Sumter County
Population Group:
Facility:
Low Income - Sumter
Federal Correctional Complex - Coleman
Page 36 of 191 Pages
DENTAL CARE: Florida
County and County Equivalent Listing
Sumter County
Facility:
Sumter Correctional Institution
Facility:
Thomas Langley Medical Center
Facility:
Wildwood Medical Center
Suwannee County
Population Group:
Low Income - Suwannee County
Facility:
Children's Medical Center @ Branford
Facility:
Children's Medical Center @ Live Oak
Facility:
Suwannee Correctional Institution-Annex
Facility:
Suwannee Correctional Institution-Main
Taylor County
Population Group:
Facility:
Low Income - Taylor County
Taylor Correctional Institutions
Union County
Population Group:
Low Income - Union County
Facility:
New River Correctional Institution
Facility:
Reception and Medical Center (Rmc)
Facility:
Union Chd/New River Community Health Care Center
Facility:
Union County Health Department/New River Community Health Center
Volusia County
Population Group:
Low Income/Migrant Farmworker - Volusia County
Facility:
Northeast Florida Health Services
Facility:
Tomoka Correctional Institution
Wakulla County
Population Group:
Facility:
Low Income - Wakulla
Wakulla Correctional Institution
Walton County
Population Group:
Facility:
Low Income - Walton County
Walton Correctional Institution
Washington County
Population Group:
Facility:
Low Income - Washington County
Northwest FL Reception Center
Page 37 of 191 Pages
DENTAL CARE: Georgia
County and County Equivalent Listing
Appling County
Facility:
Appling Medical Group
Facility:
Appling Obstetrics and Gynecology
Facility:
Appling Pediatrics
Facility:
South GA Medical Associates
Atkinson County (Entire County HPSA)
Bacon County (Entire County HPSA)
Baker County (Entire County HPSA)
Baldwin County
Population Group:
Low Income - Baldwin County
Banks County
Population Group:
Low Income - Banks County
Bartow County
Population Group:
Low Income-Bartow County
Ben Hill County
Population Group:
Low Income - Ben Hill
Bibb County
Facility:
First Choice Primary Care, Inc.
Bleckley County
Population Group:
Low Income - Bleckley County
Brantley County
Population Group:
Low Income-Brantley
Burke County (Entire County HPSA)
Butts County
Population Group:
Facility:
Low Income - Butts County
Georgia Diagnostic Prison
Calhoun County
Population Group:
Facility:
Low Income/Migrant Farmworker - Calhoun County
Calhoun State Prison
Camden County
Population Group:
Low Income - Camden County
Candler County (Entire County HPSA)
Charlton County (Entire County HPSA)
Facility:
Family Practice Clinic
Chatham County
Population Group:
Low Income - Northwest Savannah
Population Group:
Low Income-West Savannah
Facility:
Coastal State Prison
Facility:
Curtis Cooper Family Health Center - Westside
Chattooga County
Population Group:
Low Income - Chattooga
Page 38 of 191 Pages
DENTAL CARE: Georgia
County and County Equivalent Listing
Clarke County
Facility:
Athens Neighborhood Health Center, Inc. (Anhc)
Clayton County
Population Group:
Low Income - Clayton County
Clinch County (Entire County HPSA)
Coffee County
Population Group:
Facility:
Low Income - Coffee
Coffee Regional First Care
Colquitt County (Entire County HPSA)
Facility:
Colquitt Regional Medical Center Primary Care
Facility:
Kirk Clinic, LLC
Crawford County
Population Group:
Low Income - Crawford County
Crisp County
Population Group:
Facility:
Low Income - Crisp
Georgia Department of Community Health Services
Dade County
Facility:
Primary Health Care Centers of Dade
DeKalb County
Facility:
Meridian Educational Resource Group
Facility:
Oakhurst Medical Centers, Inc.
Facility:
Palmetto Health Council, Inc.
Dodge County
Facility:
Dodge State Prison
Dooly County
Population Group:
Low Income - Dooly County
Dougherty County
Population Group:
Low Income - Dougherty
Facility:
Albany Area Primary Health Care
Facility:
Glover Dental Centre - Albany
Douglas County
Population Group:
Low Income - North Douglas
Early County
Population Group:
Facility:
Low Income - Early County
Primary Care of Southwest Georgia, Inc.
Elbert County
Facility:
Medical Center of Elberton, LLC
Emanuel County (Entire County HPSA)
Facility:
East Georgia Healthcare
Facility:
Emanuel Prompt Care
Fannin County
Population Group:
Low Income - Fannin
Page 39 of 191 Pages
DENTAL CARE: Georgia
County and County Equivalent Listing
Fannin County
Facility:
Georgia Mountains Health Services
Floyd County
Population Group:
Low Income - Floyd
Forsyth County
Facility:
Georgia Highlands Community Health Center
Franklin County
Population Group:
Low Income - Franklin County
Fulton County
Population Group:
Low Income - West Atlanta
Facility:
Southside Medical Center
Facility:
St. Joseph's Mercy Care Services
Facility:
United States Penitentiary - Atlanta
Facility:
West End Medical Center
Gilmer County
Population Group:
Low Income - Gilmer County
Glascock County (Entire County HPSA)
Gordon County
Population Group:
Low Income - Gordon
Grady County (Entire County HPSA)
Greene County
Population Group:
Facility:
Low Income - Greene
Tender Care Clinic
Gwinnett County
Facility:
Gwinnett County Board of Health
Hancock County (Entire County HPSA)
Facility:
Hancock State Prison
Haralson County
Population Group:
Low Income - Haralson County
Irwin County
Facility:
South Central Health Center
Jenkins County (Entire County HPSA)
Facility:
Jenkins County Family Medicine
Johnson County (Entire County HPSA)
Facility:
Community Health Care Systems, Inc.
Facility:
Johnson State Prison
Lamar County
Population Group:
Low Income - Lamar County
Laurens County
Population Group:
Low Income - Laurens
Lee County
Facility:
Lee State Prison
Page 40 of 191 Pages
DENTAL CARE: Georgia
County and County Equivalent Listing
Liberty County
Population Group:
Facility:
Low Income - Liberty County
Diversity Health Center, Inc.
Lincoln County
Population Group:
Low Income - Lincoln
Long County (Entire County HPSA)
Lumpkin County
Population Group:
Low Income - Lumpkin County
Macon County (Entire County HPSA)
Facility:
Macon State Prison
Madison County
Population Group:
Facility:
Low Income - Madison County
Medlink Georgia, Inc.
Marion County (Entire County HPSA)
McIntosh County
Population Group:
Low Income - McIntosh County
Meriwether County
Population Group:
Low Income - Meriwether County
Miller County
Population Group:
Low Income - Miller County
Mitchell County (Entire County HPSA)
Facility:
Phoebe Family Medical Center - Camilla
Facility:
Phoebe Family Medical Center - Pelham
Montgomery County
Population Group:
Low Income - Montgomery
Murray County
Population Group:
Low Income - Murray County
Muscogee County
Population Group:
Facility:
Low Income - Muscogee County
Valley Health Care System
Newton County
Population Group:
Low Income-Newton County
Pike County
Population Group:
Low Income - Pike
Pulaski County (Entire County HPSA)
Putnam County
Population Group:
Low Income - Putnam County
Quitman County (Entire County HPSA)
Randolph County (Entire County HPSA)
Richmond County
Facility:
Christ Community Health Services Augusta, Inc.
Facility:
Neighborhood Improvement Project, Inc.
Page 41 of 191 Pages
DENTAL CARE: Georgia
County and County Equivalent Listing
Seminole County
Population Group: Low Income/Migrant Seasonal Farmworkers-Seminole
Spalding County
Population Group: Low Income - Spalding
Stewart County
Service Area:
Stewart/Webster
Facility:
Immigration and Customs Enforcement - Stewart
Facility:
Southwest Georgia Health Care
Sumter County (Entire County HPSA)
Talbot County (Entire County HPSA)
Taliaferro County (Entire County HPSA)
Taylor County (Entire County HPSA)
Telfair County (Entire County HPSA)
Facility:
Telfair State Prison
Toombs County
Population Group:
Low Income - Toombs County
Turner County
Population Group:
Low Income - Turner County
Twiggs County
Population Group:
Low Income - Twiggs County
Union County
Population Group:
Low Income - Union County
Walker County
Population Group:
Low Income - Walker County
Ware County
Population Group:
Facility:
Low Income - Ware
McKinney Community Health Center
Warren County
Population Group:
Facility:
Low Income - Warren County
Tricounty Health Systems
Washington County (Entire County HPSA)
Wayne County
Population Group:
Facility:
Low Income - Wayne
Federal Correctional Institution - Jesup
Webster County
Service Area:
Stewart/Webster
Wheeler County
Facility:
Accord Family Medicine
Whitfield County
Population Group:
Low Income - Whitfield
Wilcox County (Entire County HPSA)
Facility:
Wilcox State Prison
Page 42 of 191 Pages
DENTAL CARE: Georgia
County and County Equivalent Listing
Wilkinson County (Entire County HPSA)
Worth County
Population Group:
Low Income - Worth County
Page 43 of 191 Pages
DENTAL CARE: Hawaii
County and County Equivalent Listing
Hawaii County
Facility:
Bay Clinic
Facility:
Hamakua Health Center
Facility:
West Hawaii Community Health Center
Honolulu County
Population Group:
Low Income - Kalihi-Palama
Facility:
Federal Detention Center - Honolulu
Facility:
Kalihi-Palama
Facility:
Kokua Kalihi Valley Comprehensive Family
Facility:
Ko'Olauloa Community Health and Wellness
Facility:
Papa Ola Lokahi
Facility:
Waianae Coast Community Health Center
Facility:
Waikiki Health Center
Facility:
Waimanalo Health Center
Kauai County
Facility:
Ho'Ola Lahui - Hawaii
Maui County
Service Area:
Hana Haiku Area
Facility:
Community Clinic of Maui
Facility:
Hana Community Health Center
Facility:
Hui No Ke Ola' Pono, Inc.
Facility:
Lanai Community Health Center
Facility:
Molokai General Hospital
Facility:
Molokai Ohana Health Care, Inc.
Page 44 of 191 Pages
DENTAL CARE: Idaho
County and County Equivalent Listing
Ada County
Facility:
Family Practice Residency of ID
Adams County
Population Group:
Facility:
Low Income - Adams County
Adams County Health Center
Bannock County
Population Group:
Facility:
Low Income-Bannock County
Health West, Inc.
Benewah County
Population Group:
Low Income - Benewah County
Facility:
Benewah Medical/Wellness Center
Facility:
St Maries Family Medicine
Bingham County
Population Group:
Facility:
Low Income/Migrant Farmworker - Bingham County
Not-Tsoo Gah-Nee Indian Health Center
Blaine County
Service Area:
Carey Division Blaine County
Boise County (Entire County HPSA)
Bonner County
Population Group:
Low Income/Migrant Farmworker - Bonner County
Bonneville County
Population Group:
Low Income - Bonneville County
Boundary County
Population Group:
Low Income - Boundary County
Facility:
Bonners Ferry Family Medicine
Facility:
Boundary Regional Community Health Center
Butte County
Population Group:
Low Income - Butte County
Camas County (Entire County HPSA)
Canyon County
Population Group:
Low Income - Canyon County
Facility:
Community Council of Idaho, Inc.
Facility:
Terry Reilly Community Health Center
Caribou County
Population Group:
Low Income - Caribou County
Cassia County
Population Group:
Low Income - Cassia County
Clark County (Entire County HPSA)
Clearwater County
Population Group:
Low Income - Clearwater County
Custer County
Population Group:
Low Income - Custer County
Page 45 of 191 Pages
DENTAL CARE: Idaho
County and County Equivalent Listing
Elmore County
Population Group:
Low Income - Elmore County
Facility:
Glenns Ferry Health Center
Facility:
Trinity Mountain Medical Clinic
Franklin County
Population Group:
Low Income/Migrant Seasonal Farmworkers - Franklin
Fremont County
Population Group:
Facility:
Migrant Farmworker - Fremont County
Upper Valley Free Clinic
Gem County
Population Group:
Facility:
Low Income - Gem County
Emmett Medical Center
Gooding County (Entire County HPSA)
Idaho County
Population Group:
Low Income-Idaho County
Jefferson County
Population Group:
Facility:
Low Income - Jefferson
Upper Valley Family Medicine
Jerome County
Population Group:
Low Income/Migrant Farmworker - Jerome County
Kootenai County
Population Group:
Facility:
Low Income - Kootenai County
Dirne Community Health Clinic
Latah County
Population Group:
Low Income - Latah County
Lemhi County
Population Group:
Low Income - Lemhi County
Lewis County
Population Group:
Low Income - Lewis County
Lincoln County (Entire County HPSA)
Madison County
Population Group:
Low Income - Madison County
Minidoka County
Population Group:
Low Income/Migrant Farmworker - Minidoka County
Nez Perce County
Population Group:
Low Income - Nez Perce County
Facility:
Nimiipuu Health Center Nez Perce
Facility:
Nimiipuu Health Center-Kamiah
Oneida County
Population Group:
Low Income - Oneida County
Owyhee County (Entire County HPSA)
Page 46 of 191 Pages
DENTAL CARE: Idaho
County and County Equivalent Listing
Payette County
Population Group:
Facility:
Low Income/Migrant Farmworker - Payette County
Valley Family Health Care
Power County
Population Group:
Low Income - Power County
Shoshone County
Population Group:
Low Income - Shoshone County
Teton County
Population Group:
Migrant Farmworker-Teton County
Twin Falls County
Population Group:
Facility:
Low Income - Twin Falls County
Family Health Services
Valley County
Population Group:
Low Income - Valley County
Washington County
Population Group:
Facility:
Low Income - Washington County
Two Rivers Medical Clinic, PA
Page 47 of 191 Pages
DENTAL CARE: Illinois
County and County Equivalent Listing
Adams County
Population Group:
Medicaid Eligible - Adams County
Alexander County
Population Group:
Facility:
Low Income - Alexander/Pulaski
Community Health and Emergency Services
Bond County (Entire County HPSA)
Facility:
Federal Correctional Institution - Greenville
Boone County
Population Group:
Low Income - Belvidere
Brown County
Population Group:
Low Income - Brown County
Facility:
Quincy Medical Group-Mt. Sterling Rural Health
Facility:
Western Illinois Correctional Center
Bureau County
Population Group:
Low Income - Bureau/Putnam
Calhoun County
Population Group:
Low Income - Calhoun/Greene/Jersey
Carroll County
Population Group:
Low Income - Carroll County
Cass County
Population Group:
Facility:
Low Income - Cass County
Cass County Health Department
Champaign County
Population Group:
Low Income - Champaign
Christian County (Entire County HPSA)
Clark County
Population Group: Low Income - Clark County
Clay County
Population Group: Low Income - Clay County
Coles County
Population Group: Low Income - Coles
Cook County
Population Group: Low Income - Albany Park
Population Group: Low Income - Chicago - Southeast South
Population Group: Low Income - Chicago Midway Central
Population Group: Low Income - Chicago Midway East
Population Group: Low Income - Cottage Grove
Population Group: Low Income - Maywood/Cicero
Population Group: Low Income - Midsouth Area (Chicago)
Population Group: Low Income - Robbins/Markham Service Area
Population Group: Low Income - Southwest East
Population Group: Low Income - West Side (Chicago)
Page 48 of 191 Pages
DENTAL CARE: Illinois
County and County Equivalent Listing
Cook County
Population Group:
Low Income-Near North (Chicago)
Population Group:
Low Income-Near South (Chicago)
Population Group:
Low Income-Southeast North (Chicago)
Facility:
Access Community Health Network
Facility:
Alivio Medical Center
Facility:
Altgeld Health Center
Facility:
American Indian Health Service of Chicago, Inc.
Facility:
Asian Human Services Family Health Center
Facility:
Aunt Marthas Youth Service
Facility:
Beloved Community Family Services, Inc.
Facility:
Centro De Salud Esperanza
Facility:
Chicago Department of Public Health
Facility:
Chicago Family Health
Facility:
Christian Community Health Center
Facility:
Circle Family Care
Facility:
City of Chicago Department of Health - Lower Wests
Facility:
Community Health Partnership of Illinois
Facility:
Community Nurse Health Association
Facility:
Erie Family Health Center
Facility:
Family Christian Health Center
Facility:
Friend Family Health Center
Facility:
Heartland Health Outreach
Facility:
Heartland International Health Center
Facility:
Howard Brown Health Center
Facility:
Lawndale Christian Health
Facility:
Lower West Neighborhood Health Center
Facility:
Mercy Hospital and Medical
Facility:
Metropolitan Correctional Center - Chicago
Facility:
Mile Square Community Health Center
Facility:
Near North Health
Facility:
PCC Community Wellness Center
Facility:
Primecare Community Health
Crawford County
Population Group:
Low Income - Crawford County
Cumberland County
Population Group:
Facility:
Low Income-Cumberland County
Sbl - Neoga Clinic
De Witt County
Population Group:
Low Income - De Witt County
DeKalb County
Population Group:
Low Income - DeKalb Township
Page 49 of 191 Pages
DENTAL CARE: Illinois
County and County Equivalent Listing
DeKalb County
Facility:
Tri-County Community Health Center - Malta
Douglas County (Entire County HPSA)
Edgar County
Population Group:
Low Income - Edgar
Edwards County
Population Group:
Low Income - Edwards/Wabash
Effingham County
Population Group:
Low Income - Effingham County
Fayette County
Population Group:
Low Income - Fayette County
Franklin County
Population Group:
Facility:
Low Income - Franklin
Christopher Greater Area Rural Health
Fulton County
Population Group:
Facility:
Medicaid Eligible - Fulton County
Illinois River State Correctional Center
Gallatin County
Population Group:
Low Income - Gallatin County
Greene County
Population Group:
Facility:
Low Income - Calhoun/Greene/Jersey
Thomas H. Boyd Rural Health Clinic
Hamilton County
Population Group:
Low Income - Hamilton County
Hancock County
Population Group:
Low Income - Hancock County
Hardin County
Population Group:
Low Income - Hardin/Pope County
Henderson County
Population Group:
Facility:
Low Income - Henderson/Warren
Henderson County Rural Health
Henry County
Population Group:
Medicaid Eligible - Henry County
Jackson County
Population Group:
Low Income - Jackson County
Jasper County
Population Group:
Low Income - Richland/Jasper
Jefferson County
Population Group:
Low Income - Jefferson County
Jersey County
Population Group:
Low Income - Calhoun/Greene/Jersey
Page 50 of 191 Pages
DENTAL CARE: Illinois
County and County Equivalent Listing
Johnson County
Population Group:
Facility:
Low Income - Johnson County
Shawnee Correctional Center
Kane County
Population Group:
Low Income - Aurora
Facility:
Greater Elgin Family Care Center
Facility:
Visiting Nurse Association of Fox Valley
Knox County
Population Group:
Low Income - Knox County
Facility:
Hill Correctional Center
Facility:
Knox County Health Department
La Salle County
Population Group:
Facility:
Medicaid Eligible - La Salle County
Sheridan Correctional Center
Lake County
Population Group:
Facility:
Low Income - Waukegan/Zion/Benton
Lake County Community Health Department and Commun
Lawrence County
Population Group:
Facility:
Low Income - Lawrence County
Lawrence County Health Department
Lee County
Facility:
Dixon Correctional Center
Livingston County
Facility:
Pontiac Correctional Center
Logan County
Population Group:
Facility:
Low Income - Lincoln
Logan Correctional Center
Macon County
Population Group:
Facility:
Low Income - Decatur
Community Health Improvement Center
Macoupin County
Population Group:
Facility:
Medicaid Eligible - Macoupin County
Macoupin County Public Health Department
Madison County
Facility:
Big Muddy River Correctional Center
Marion County
Population Group:
Low Income - Marion County
Massac County
Population Group:
Low Income - Massac County
McDonough County
Population Group:
Low Income - McDonough County
Page 51 of 191 Pages
DENTAL CARE: Illinois
County and County Equivalent Listing
McLean County
Population Group:
Facility:
Medicaid Eligible - McLean County
Chestnut Family Health Center
Menard County (Entire County HPSA)
Montgomery County
Population Group:
Medicaid Eligible - Montgomery County
Moultrie County
Service Area:
Moultrie/Shelby Catch Area
Peoria County
Population Group:
Facility:
Low Income - Peoria County
Heartland Community Health Clinic
Perry County
Population Group:
Facility:
Low Income - Perry County
Pinckneyville Correction Center
Pike County
Population Group:
Low Income - Pike/Scott
Facility:
Quincy Medical Group - Pleasant Hill
Facility:
Quincy Medical Group-Barry Rural Health
Facility:
Quincy Medical Group-Pike County Family Practice
Facility:
Quincy Medical Group-Pittsfield Rural Health
Pope County
Population Group:
Low Income - Hardin/Pope County
Pulaski County
Population Group:
Low Income - Alexander/Pulaski
Putnam County
Population Group:
Low Income - Bureau/Putnam
Randolph County
Facility:
Menard Correctional Center
Richland County
Population Group:
Low Income - Richland/Jasper
Rock Island County
Population Group:
Medicaid Eligible - Rock Island
Saline County
Population Group:
Medicaid Eligible - Saline County
Sangamon County
Population Group:
Low Income East Side Springfield
Facility:
Board of Trustees of Southern IL University
Facility:
Central Counties Health Centers
Schuyler County
Population Group:
Low Income - Schuyler County
Scott County
Population Group:
Low Income - Pike/Scott
Page 52 of 191 Pages
DENTAL CARE: Illinois
County and County Equivalent Listing
Scott County
Facility:
Quincy Medical Group-Winchester FP
Shelby County
Service Area:
Moultrie/Shelby Catch Area
St. Clair County
Facility:
Southern IL Regional Wellness Center
Facility:
Southern Illinois Healthcare Foundation
Stephenson County
Population Group:
Low Income - Freeport
Tazewell County (Entire County HPSA)
Facility:
Federal Correctional Institution - Pekin
Union County
Population Group:
Facility:
Low Income - Union County
Rural Health, Inc.
Vermilion County
Population Group:
Facility:
Low Income - Vermilion County
Danville Correctional Center
Wabash County
Population Group:
Low Income - Edwards/Wabash
Warren County
Population Group:
Low Income - Henderson/Warren
Washington County
Population Group:
Medicaid Eligible - Washington County
Wayne County
Population Group:
Low Income - Wayne County
White County
Population Group:
Low Income - White County
Whiteside County
Population Group:
Low Income - Sterling/Rock Falls
Facility:
Morrison Community Hospital Family Care
Facility:
Whiteside County Health Department - Rock Falls
Will County
Population Group:
Facility:
Low Income - Joliet Township
Will County Community
Williamson County
Population Group:
Low Income - Williamson
Facility:
Shawnee Health Services Corporation
Facility:
United States Penitentiary - Marion
Winnebago County
Population Group:
Low Income - Southwest Rockford
Facility:
Crusaders Clinic
Facility:
Milestone Dental Clinic
Page 53 of 191 Pages
DENTAL CARE: Indiana
County and County Equivalent Listing
Allen County
Population Group:
Facility:
Low Income - Central Fort Wayne
Neighborhood Health Clinics, Inc.
Clark County
Facility:
Family Health Center of Clark County, Indiana
Delaware County
Population Group:
Low Income - Delaware County
Facility:
Meridian Services Corporation
Facility:
Open Door Health Services, Inc.
Elkhart County
Population Group:
Low Income - Northwest Elkhart County
Facility:
Heart City Health Center
Facility:
Maple City Health Care Center
Facility:
Maple City Health Care Center, Inc.
Gibson County
Population Group:
Facility:
Low Income - Gibson County
Oakland City Family Practice, LLC
Greene County
Facility:
Ridge Medical Center
Henry County
Facility:
Knightstown Family Health Care
Facility:
New Castle Pediatrics
Jefferson County
Population Group:
Low Income - Jefferson County
Johnson County
Facility:
Trafalgar Family Health Center
Lagrange County (Entire County HPSA)
Lake County
Service Area:
East Chicago Service Area
Facility:
Community Healthnet, Inc./Dba Gary Community Healt
Facility:
East Chicago Community Health Center
Madison County
Facility:
Madison County Community Health Center
Marion County
Service Area:
South Central Indianapolis
Population Group:
Low Income - Highland-Brookside
Population Group:
Low Income - Near North Side (Indianapolis)
Facility:
Health and Hospital Corporation of Marion County
Facility:
Healthnet
Facility:
Indiana Health Centers
Facility:
Jane Pauley Community Health Center
Facility:
Raphael Health Center
Page 54 of 191 Pages
DENTAL CARE: Indiana
County and County Equivalent Listing
Marion County
Facility:
Shalom Health Care Center, Inc.
Porter County
Facility:
Healthlinc, Inc. (Formerly Hilltop)
Facility:
North Shore Health Center
Pulaski County
Facility:
Knox Winamac Community Health Centers (Kwchc)
Randolph County (Entire County HPSA)
Rush County
Population Group:
Low Income - Rush County
St. Joseph County
Population Group:
Low Income - St. Joseph County
Starke County
Facility:
Knox Family Medical Center
Switzerland County
Population Group:
Low Income - Switzerland County
Tippecanoe County
Population Group:
Low Income - Tippecanoe County
Facility:
Purdue University - Family Health Clinics
Facility:
Tippecanoe Community Health Center
Vanderburgh County
Population Group:
Facility:
Low Income - Vanderburgh County
Echo Community Health Care
Vermillion County
Facility:
Vermillion-Parke Community Health Center
Vigo County
Facility:
Federal Correctional Complex - Terre Haute
Page 55 of 191 Pages
DENTAL CARE: Iowa
County and County Equivalent Listing
Adair County (Entire County HPSA)
Adams County
Population Group:
Facility:
Low Income - Adams County
Alegent Health Rosary Clinic - Corning
Allamakee County
Population Group:
Low Income - Allamakee County
Appanoose County
Population Group:
Low Income - Appanoose County
Black Hawk County
Population Group:
Facility:
Medicaid Eligible - Black Hawk County
Peoples Community Health Clinic
Boone County
Population Group:
Low Income - Boone County
Bremer County
Facility:
Christophel Clinic
Facility:
Rohlf Memorial Clinic
Facility:
Women's Clinic
Buchanan County
Population Group:
Medicaid Eligible - Buchanan County
Buena Vista County
Population Group:
Facility:
Medicaid Eligible - Buena Vista
United Community Health Center
Butler County
Population Group:
Facility:
Medicaid Population-Butler
Franklin Medical Center-Dumont
Calhoun County
Population Group:
Facility:
Medicaid Eligible - Calhoun County
North Central Correctional Facility
Cass County
Population Group:
Medicaid Population-Cass
Facility:
Anita Medical Center
Facility:
Atlantic Medical Center Rural Health Clinic
Facility:
Griswold Medical Center
Facility:
Massena Medical Center
Cherokee County
Population Group:
Low Income - Cherokee County
Chickasaw County
Population Group:
Medicaid Eligible - Chickasaw
Clarke County
Population Group:
Medicaid Eligible - Clarke
Clay County
Population Group:
Medicaid Eligible - Clay County
Page 56 of 191 Pages
DENTAL CARE: Iowa
County and County Equivalent Listing
Clayton County
Population Group:
Facility:
Medicaid Eligible-Clayton
Regional Family Health - Strawberry Point
Clinton County
Population Group:
Medicaid Eligible - Clinton County
Crawford County
Population Group:
Medicaid Eligible - Crawford
Davis County
Population Group:
Medicaid Eligible - Davis
Decatur County (Entire County HPSA)
Facility:
Community Health Centers of Southern Iowa
Delaware County
Population Group:
Medicaid Eligible - Delaware
Des Moines County
Population Group:
Facility:
Medicaid Eligible - Des Moines
Community Health Centers of Southeastern Iowa
Dubuque County
Population Group:
Facility:
Low Income - Dubuque
Crescent Community Health Center
Emmet County
Population Group:
Medicaid Eligible - Emmett
Fayette County
Population Group:
Medicaid Eligible - Fayette
Floyd County
Population Group:
Medicaid Eligible - Floyd
Franklin County
Population Group:
Low Income - Franklin County
Facility:
Franklin Medical Center - Hampton
Facility:
Franklin Medical Center - Latimer
Fremont County
Population Group:
Medicaid Eligible - Fremont
Facility:
Medical Clinic, P.C.
Facility:
Medical Clinic-Hamburg
Facility:
Medical Clinic-Sidney
Greene County
Population Group:
Medicaid Eligible - Greene
Guthrie County (Entire County HPSA)
Hardin County
Population Group:
Medicaid Eligible - Hardin
Harrison County
Facility:
Alegent Health Clinic Logan
Facility:
Alegent Health Clinic Missouri Valley
Page 57 of 191 Pages
DENTAL CARE: Iowa
County and County Equivalent Listing
Harrison County
Facility:
Alegent Health-Dunlap Clinic
Facility:
Alegent Health-Woodbine Clinic
Henry County
Population Group:
Facility:
Medicaid Eligible - Henry County
Mount Pleasant Correctional Facility
Howard County
Population Group:
Facility:
Medicaid Eligible - Howard County
Cresco Clinic
Humboldt County
Population Group:
Medicaid Eligible - Humboldt County
Ida County
Population Group:
Medicaid Eligible - Ida
Jackson County
Population Group:
Medicaid Eligible - Jackson
Jefferson County
Population Group:
Medicaid Eligible - Jefferson
Johnson County
Facility:
Iowa Medical and Classification Center
Jones County
Facility:
Monticello Medical Center
Keokuk County (Entire County HPSA)
Lee County
Population Group:
Medicaid Eligible - Lee
Linn County
Facility:
Linn Community Care
Louisa County (Entire County HPSA)
Lucas County (Entire County HPSA)
Mahaska County
Population Group:
Medicaid Eligible - Mahaska
Marshall County
Population Group:
Medicaid Eligible - Marshall County
Mitchell County
Population Group:
Medicaid Eligible - Mitchell
Monona County
Population Group:
Medicaid Eligible - Monona County
Monroe County
Population Group:
Medicaid Eligible - Monroe
Montgomery County
Population Group:
Medicaid Eligible - Montgomery
Muscatine County
Population Group:
Medicaid Eligible - Muscatine County
Page 58 of 191 Pages
DENTAL CARE: Iowa
County and County Equivalent Listing
O'Brien County
Facility:
Hartley Mercy Medical Clinic
Facility:
Paullina Mercy Medical Center
Facility:
Primghar Mercy Medical Clinic
Facility:
Sutherland Mercy Medical Clinic
Osceola County
Population Group:
Medicaid Eligible - Osceola County
Page County
Population Group:
Facility:
Medicaid Eligible - Page County
Clarinda Correctional Facility
Palo Alto County (Entire County HPSA)
Pocahontas County
Population Group:
Medicaid Eligible - Pocahontas County
Polk County
Facility:
Primary Health Care, Inc.
Facility:
Proteus, Inc.
Pottawattamie County
Facility:
Council Bluffs Community Health Center
Poweshiek County
Population Group:
Medicaid Eligible - Poweshiek County
Ringgold County (Entire County HPSA)
Sac County
Population Group:
Low Income - Sac County
Scott County
Population Group:
Facility:
Medicaid Eligible - Scott County
Community Health Care
Sioux County
Facility:
Greater Sioux Community Health Center (Gschc)
Tama County
Population Group:
Facility:
Medicaid Eligible - Tama County
Sac and Fox Tribe of the Mississippi in IA
Taylor County
Population Group:
Medicaid Eligible - Taylor County
Union County
Population Group:
Medicaid Eligible - Union County
Van Buren County (Entire County HPSA)
Facility:
Cantril Medical Clinic
Facility:
Douds Medical Clinic
Facility:
Farmington Rural Health
Facility:
Keosauqua Rural Health
Wapello County
Population Group:
Medicaid Eligible - Wapello County
Page 59 of 191 Pages
DENTAL CARE: Iowa
County and County Equivalent Listing
Wapello County
Facility:
River Hills Community Health Center
Washington County
Population Group:
Medicaid Eligible - Washington County
Wayne County (Entire County HPSA)
Webster County
Population Group:
Medicaid Eligible - Webster County
Facility:
Community Health Center of Fort Dodge
Facility:
Fort Dodge Correctional Facility
Woodbury County
Population Group:
Facility:
Medicaid Eligible - Woodbury County
Siouxland Community Health Center
Wright County
Population Group:
Facility:
Medicaid Eligible - Wright County
Franklin Medical Center - Dows
Page 60 of 191 Pages
DENTAL CARE: Kansas
County and County Equivalent Listing
Allen County
Population Group:
Low Income - Allen County
Anderson County
Population Group:
Low Income - Anderson County
Atchison County
Population Group:
Low Income - Atchison County
Barber County (Entire County HPSA)
Barton County
Population Group:
Facility:
Low Income - Barton County
We Care Project
Bourbon County
Population Group:
Low Income - Bourbon
Brown County
Population Group:
Facility:
Low Income - Brown County
White Cloud Indian Health Station
Butler County
Facility:
Augusta Family Practice
Chase County (Entire County HPSA)
Chautauqua County
Population Group:
Low Income - Chautauqua County
Cherokee County
Population Group:
Facility:
Low Income - Cherokee County
St John's Clinic-Columbus-Family Medicine
Cheyenne County
Population Group:
Low Income - Cheyenne County
Clark County (Entire County HPSA)
Facility:
Ashland Health Center
Clay County
Population Group:
Facility:
Low Income - Clay County
Clay Center Family Physicians
Cloud County
Population Group:
Low Income - Cloud County
Coffey County
Population Group:
Low Income - Coffey County
Comanche County (Entire County HPSA)
Cowley County
Population Group:
Low Income - Cowley
Crawford County
Population Group:
Facility:
Low Income - Crawford County
Community Health Center of Southeast Kansas
Decatur County (Entire County HPSA)
Page 61 of 191 Pages
DENTAL CARE: Kansas
County and County Equivalent Listing
Dickinson County
Population Group:
Low Income - Dickinson County
Facility:
Heartland Health Care Center
Facility:
Herington Area Health Clinic
Doniphan County
Population Group:
Low Income - Doniphan County
Douglas County
Population Group:
Facility:
Low Income - Douglas County
Heartland Medical Clinic, Inc.
Edwards County
Population Group:
Low Income - Edwards County
Elk County (Entire County HPSA)
Ellis County
Population Group:
Facility:
Low Income - Ellis
First Care Clinic, Inc.
Ellsworth County
Population Group:
Low Income - Ellsworth
Finney County
Facility:
United Methodist Western Kansas Mexican American M
Ford County
Population Group:
Low Income - Ford County
Franklin County
Population Group:
Low Income - Franklin County
Geary County
Population Group:
Facility:
Low Income - Geary County
Konza Prairie Community Health
Gove County (Entire County HPSA)
Graham County
Population Group:
Low Income - Graham County
Grant County (Entire County HPSA)
Gray County (Entire County HPSA)
Greeley County
Population Group:
Facility:
Low Income - Greeley
Greeley County Family Practice Clinic
Greenwood County (Entire County HPSA)
Hamilton County
Population Group:
Low Income - Hamilton County
Harper County
Population Group:
Low Income - Harper County
Harvey County
Facility:
Health Ministries Clinic
Haskell County (Entire County HPSA)
Page 62 of 191 Pages
DENTAL CARE: Kansas
County and County Equivalent Listing
Hodgeman County (Entire County HPSA)
Jackson County (Entire County HPSA)
Facility:
Holton Family Health Clinic
Jefferson County (Entire County HPSA)
Jewell County
Population Group:
Low Income - Jewell County
Johnson County
Facility:
Health Partnership Clinic of Johnson County
Kearny County
Population Group:
Low Income - Kearny County
Kingman County
Population Group:
Low Income - Kingman County
Kiowa County (Entire County HPSA)
Labette County
Population Group:
Low Income - Labette County
Lane County (Entire County HPSA)
Leavenworth County
Facility:
United States Penitentiary - Leavenworth
Lincoln County
Population Group:
Low Income - Lincoln County
Linn County (Entire County HPSA)
Logan County
Facility:
New Frontiers Health Services
Lyon County
Population Group:
Facility:
Low Income - Lyon County
Flint Hills Community Health Center/Lyon
Marion County
Population Group:
Low Income - Marion County
Marshall County
Population Group:
Low Income - Marshall County
Facility:
Downtown Medical Clinic
Facility:
Marysville Clinic
Meade County
Population Group:
Low Income - Meade County
Miami County
Facility:
Associates in Family Care - Osawatomie
Facility:
Associates in Family Care - Paola
Facility:
Louisburg Family Care
Mitchell County
Population Group:
Low Income - Mitchell County
Montgomery County
Population Group:
Low Income - Montgomery County
Page 63 of 191 Pages
DENTAL CARE: Kansas
County and County Equivalent Listing
Morris County
Population Group:
Low Income - Morris County
Morton County
Population Group:
Low Income - Morton County
Nemaha County
Population Group:
Facility:
Low Income - Nemaha County
Centralia Medical Clinic
Neosho County
Population Group:
Low Income - Neosho County
Ness County (Entire County HPSA)
Norton County
Population Group:
Low Income - Norton County
Osage County (Entire County HPSA)
Osborne County
Population Group:
Low Income - Osborne County
Ottawa County
Population Group:
Low Income - Ottawa County
Phillips County
Facility:
Logan Medical Center
Facility:
Phillips County Medical Clinic
Pottawatomie County
Facility:
Onaga Clinic
Facility:
St. Mary's Clinic
Pratt County
Population Group:
Low Income - Pratt County
Reno County
Facility:
Prairie Star Health Center
Republic County
Population Group:
Low Income - Republic County
Riley County
Population Group:
Low Income - Riley County
Rooks County
Population Group:
Low Income - Rooks County
Rush County
Population Group:
Low Income - Rush County
Russell County
Population Group:
Low Income - Russell County
Saline County
Population Group:
Facility:
Low Income - Saline County
Salina Family Healthcare Center
Scott County
Population Group:
Low Income - Scott/Wichita
Page 64 of 191 Pages
DENTAL CARE: Kansas
County and County Equivalent Listing
Sedgwick County
Population Group:
Southeast Wichita Low Income
Facility:
Center for Health and Wellness
Facility:
Gracemed Health Clinic, Inc.
Facility:
Hunter Health Clinic
Seward County (Entire County HPSA)
Shawnee County
Population Group:
Low Income - Shawnee County
Facility:
Kansas Department of Health
Facility:
Shawnee County Health Agency
Sheridan County
Population Group:
Low Income - Sheridan County
Sherman County
Population Group:
Low Income - Sherman County
Smith County
Population Group:
Low Income - Smith County
Stafford County (Entire County HPSA)
Stanton County (Entire County HPSA)
Sumner County
Facility:
Bass Memorial Baptist Hospital Dba Caldwell Family Cli
Thomas County
Population Group:
Low Income - Thomas County
Trego County
Population Group:
Low Income - Trego County
Wabaunsee County (Entire County HPSA)
Wallace County (Entire County HPSA)
Washington County
Population Group:
Low Income - Washington County
Wichita County
Population Group:
Low Income - Scott/Wichita
Wilson County
Population Group:
Low Income - Wilson
Woodson County
Population Group:
Low Income - Woodson County
Wyandotte County
Population Group:
Low Income - Wyandotte County
Page 65 of 191 Pages
DENTAL CARE: Kentucky
County and County Equivalent Listing
Bath County
Facility:
Bath County Medical Clinic
Bell County
Facility:
Red Bird Clinic
Boyd County
Facility:
Federal Correctional Institution - Ashland
Breathitt County (Entire County HPSA)
Facility:
Aaron K. Jonan Memorial Clinic, Inc.
Breckinridge County (Entire County HPSA)
Butler County
Population Group:
Low Income - Butler-Ohio Counties
Campbell County
Facility:
Health Point Family Care
Carlisle County (Entire County HPSA)
Carter County
Facility:
Carter County Medical Clinic
Clark County
Facility:
Clark Family Care
Facility:
Winchester Family Practice
Clay County
Population Group:
Low Income - Clay County
Facility:
Community Health Center-Clay County
Facility:
Federal Correctional Institution - Manchester
Facility:
Kate Ireland Health Center
Clinton County
Population Group:
Low Income - Clinton County
Crittenden County
Population Group:
Low Income - Crittenden/Livingston Counties
Cumberland County (Entire County HPSA)
Facility:
Cumberland Family Medical Center
Edmonson County
Population Group:
Low Income - Edmonson County
Elliott County
Facility:
Sandy Hook Family Care Center
Fayette County
Facility:
Bluegrass Farmworker Health Center
Facility:
Federal Medical Center - Lexington
Facility:
Lexington-Fayette County Health Department
Floyd County
Facility:
Big Sandy Healthcare, Inc.
Facility:
Eastern Kentucky Tender Care Pediatrics
Page 66 of 191 Pages
DENTAL CARE: Kentucky
County and County Equivalent Listing
Grayson County
Population Group:
Low Income - Grayson County
Hardin County
Population Group:
Low Income - Hardin County
Harlan County (Entire County HPSA)
Facility:
Clover Fork Outpatient Medical Project
Hickman County
Population Group:
Facility:
Low Income - Hickman
Clinton Family Care Clinic
Jefferson County
Facility:
Family Health Center, Inc.
Facility:
Park Duvalle Community
Knott County
Facility:
Primary Care Centers of Eastern KY-Hindman
Knox County
Facility:
Barbourville Family Health Center
Facility:
Grace Community Health Center Inc.
Larue County
Population Group:
Low Income - Larue County
Laurel County
Population Group:
Low Income - Laurel County
Facility:
Corbin Pediatric Associates
Facility:
London Pediatric and Adolescent Medicine
Lee County
Population Group:
Facility:
Low Income - Lee County
Juniper Health, Inc.
Leslie County
Facility:
Appalachian Clinic-Wooton
Facility:
Primary Care Centers of Eastern KY-Hyden
Letcher County
Facility:
Mountain Comprehensive Health Corporation
Lewis County
Facility:
Lewis County Primary Care Center
Livingston County
Population Group:
Low Income - Crittenden/Livingston Counties
Logan County
Population Group:
Low Income - Logan-Todd Counties
Madison County
Facility:
Berea Health Ministry, Inc.
Facility:
Health Help, Inc.
Facility:
Jon M. Strauss
Facility:
Kentucky River Foothills Development Council
Page 67 of 191 Pages
DENTAL CARE: Kentucky
County and County Equivalent Listing
Madison County
Facility:
Madison Family Clinic
Facility:
Strauss Family Practice
Magoffin County
Facility:
Salyersville Medical Center
Martin County
Facility:
United States Penitentiary - Big Sandy
McCreary County (Entire County HPSA)
Facility:
United States Penitentiary - McCreary
McLean County
Service Area:
Muhlenberg/McLean
Menifee County (Entire County HPSA)
Montgomery County
Facility:
Sterling Health Solutiions, Inc.
Muhlenberg County
Service Area:
Facility:
Muhlenberg/McLean
Community Health Centers of Western Kentucky
Nelson County
Population Group:
Facility:
Low Income - Nelson County
Flaget Immediate Care Clinic
Nicholas County
Facility:
Jmhc Rural Health Clinic
Ohio County
Population Group:
Low Income - Butler-Ohio Counties
Owen County
Facility:
Triad Health Systems
Owsley County (Entire County HPSA)
Perry County
Facility:
Appalachian Physicians, PSC
Facility:
Kentucky Mountain Health Alliance
Facility:
Mountain After-Hours Clinic
Facility:
Pediatric Associates of Hazard, LLC
Facility:
Primary Care Centers of Eastern KY-Hazard
Facility:
Primary Care Centers of Eastern KY-Vicco
Facility:
University of Kentucky College of Medicine - North
Pike County
Facility:
Pediatric Associates of Pikeville, LLC
Pulaski County
Population Group:
Low Income - Pulaski County
Todd County
Population Group:
Low Income - Logan-Todd Counties
Page 68 of 191 Pages
DENTAL CARE: Kentucky
County and County Equivalent Listing
Warren County
Facility:
Bowling Green-Warren Primary Care Center
Wayne County
Population Group:
Low Income - Wayne County
Webster County
Facility:
Regional Health Care Affilates, Inc.
Whitley County
Population Group:
Low Income - Whitley County
Facility:
Maria C. Atienza, MD
Facility:
Williamsburg Family Medicine Center
Wolfe County (Entire County HPSA)
Page 69 of 191 Pages
DENTAL CARE: Louisiana
County and County Equivalent Listing
Acadia Parish (Entire County HPSA)
Allen Parish (Entire County HPSA)
Facility:
Federal Correctional Complex - Oakdale
Ascension Parish (Entire County HPSA)
Facility:
Elayn Hunt Correctional Facility
Assumption Parish (Entire County HPSA)
Facility:
Reddy Family Medical Clinic
Facility:
Reddy Family Medical Clinic Pierre Part
Avoyelles Parish
Facility:
Tunica-Biolxi Indian Tribe of Louisiana
Beauregard Parish (Entire County HPSA)
Bienville Parish (Entire County HPSA)
Caddo Parish
Population Group:
Facility:
Low Income - Caddo Parish
David Raines Community Health Center
Calcasieu Parish
Facility:
Chadha Medical Clinic
Facility:
Southwest Louisiana Center for Health Services
Caldwell Parish (Entire County HPSA)
Cameron Parish (Entire County HPSA)
Catahoula Parish (Entire County HPSA)
Facility:
Catahoula Parish Hospital Service District
Claiborne Parish (Entire County HPSA)
Concordia Parish
Population Group:
Low Income - Concordia Parish
De Soto Parish (Entire County HPSA)
Facility:
Casse/Community Health Institute
East Baton Rouge Parish
Population Group:
Low Income - East Baton Rouge Parish
Facility:
Baton Rouge Primary Care Collabrative
Facility:
Capitol City Family Health Center
East Carroll Parish (Entire County HPSA)
East Feliciana Parish (Entire County HPSA)
Facility:
Primary Care Providers for a Health Feliciana
Franklin Parish (Entire County HPSA)
Facility:
Chitimacha Health Clinic
Facility:
Tensas Community Health Center
Grant Parish (Entire County HPSA)
Facility:
United States Penitentiary - Pollock
Iberia Parish (Entire County HPSA)
Facility:
Iberia Comprehensive Community Health Center
Page 70 of 191 Pages
DENTAL CARE: Louisiana
County and County Equivalent Listing
Iberville Parish
Population Group:
Low Income - Iberville Parish
Facility:
Reddy Family Medical Clinic-Plaquemine
Facility:
Reddy Family Medical Clinic-White Castle
Facility:
St. Gabriel Health Clinic
Jackson Parish (Entire County HPSA)
Jefferson Davis Parish (Entire County HPSA)
Facility:
Elton Rural Health Clinic
Jefferson Parish
Population Group:
Low Income - Jefferson Parish
Facility:
East Jefferson Community Health Center
Facility:
Jefferson Community Health Centers, Inc.
Facility:
St. Charles Community Health Center-Kenner Pediatr
La Salle Parish (Entire County HPSA)
Facility:
Immigration and Customs Enforcement - Jena
Lafayette Parish
Population Group:
Low Income - Lafayette
Lincoln Parish
Population Group:
Low Income - Lincoln Parish
Livingston Parish
Population Group:
Low Income - Livingston
Madison Parish (Entire County HPSA)
Facility:
Madison Parish Hospital Rural Health
Morehouse Parish (Entire County HPSA)
Facility:
Morehouse Community Medical Center
Natchitoches Parish (Entire County HPSA)
Facility:
Natchitoches Out Patient
Orleans Parish
Population Group:
Low Income - Orleans Parish
Facility:
Common Ground Health Clinic
Facility:
Excelth, Inc. Health Care
Facility:
Healthcare for the Homeless
Facility:
Marillac Community Health Centers
Facility:
Mary Queen of Viet Nam Community Development Corporation
Facility:
Mqvn Community Development Corporation/Noela Community Health Center
Facility:
St. Thomas Community Health Center, Inc.
Ouachita Parish
Population Group:
Facility:
Low Income - Ouachita
Primary Health Service
Plaquemines Parish (Entire County HPSA)
Pointe Coupee Parish (Entire County HPSA)
Facility:
Innis Community Health
Page 71 of 191 Pages
DENTAL CARE: Louisiana
County and County Equivalent Listing
Rapides Parish
Facility:
Rapides Primary Health Care Center
Red River Parish (Entire County HPSA)
Richland Parish
Population Group:
Low Income - Richland Parish
Facility:
Delhi Rural Health Clinic
Facility:
Northeast Louisiana Health Center
Facility:
Parish of Richland/Dba Delhi Community Health Cent
Sabine Parish (Entire County HPSA)
St. Bernard Parish (Entire County HPSA)
St. Charles Parish
Facility:
St. Charles Community Health Center, Inc.
St. Helena Parish (Entire County HPSA)
Facility:
St. Helena Community Health Center
St. James Parish
Population Group:
Low Income - St. James County
St. John the Baptist Parish (Entire County HPSA)
St. Landry Parish (Entire County HPSA)
Facility:
Southwest Louisianna Primary
St. Martin Parish (Entire County HPSA)
St. Mary Parish (Entire County HPSA)
Facility:
Teche Action Clinic
Tangipahoa Parish
Population Group:
Facility:
Low Income - Tangipahoa Parish
Multipractice Clinic, Inc.
Tensas Parish (Entire County HPSA)
Union Parish (Entire County HPSA)
Vermilion Parish (Entire County HPSA)
Vernon Parish (Entire County HPSA)
Washington Parish (Entire County HPSA)
Facility:
Rayburn Correctional Facility
Webster Parish (Entire County HPSA)
West Baton Rouge Parish
Population Group:
Low Income - West Baton Rouge Parish
West Carroll Parish (Entire County HPSA)
Winn Parish (Entire County HPSA)
Facility:
Winn Community Health Center, Inc.
Page 72 of 191 Pages
DENTAL CARE: Maine
County and County Equivalent Listing
Androscoggin County
Service Area:
Jay Service Area
Facility:
Community Clinical Services
Facility:
DFD Russell Medical Center
Aroostook County
Service Area:
Allagash
Service Area:
Danforth
Service Area:
Island Falls
Service Area:
Madawaska
Population Group:
Low Income - Houlton Dental Care Catchment Area 42
Population Group:
Low Income - Old Town
Population Group:
Low Income - Presque Isle
Population Group:
Low Income-Millinocket/Lincoln
Facility:
Fish River Rural Health
Facility:
Pines Health Services
Cumberland County
Service Area:
Bridgton
Service Area:
Parsonsfield
Facility:
Health Care for Portland's Homeless
Franklin County
Service Area:
Jay Service Area
Service Area:
Kingfield
Population Group:
Low Income - Farmington Dental Care Analysis Area
Population Group:
Low Income - Rumford Dental Care Catchment Area
Hancock County
Service Area:
Bar Harbor
Population Group:
Low Income - Blue Hill
Population Group:
Low Income - Ellsworth
Population Group:
Low Income - Gouldsboro
Population Group:
Low Income - Old Town
Facility:
Bucksport Regional
Kennebec County
Service Area:
Jay Service Area
Population Group:
Low Income - Augusta Dental Care Analysis Area
Population Group:
Low Income - Farmington Dental Care Analysis Area
Population Group:
Low Income - Waterville Service Area
Facility:
Rural Health Centers of Maine, Inc.
Knox County
Population Group:
Low Income - Blue Hill
Population Group:
Low Income-Rockland Service Area
Facility:
Islands Community Medical Center
Page 73 of 191 Pages
DENTAL CARE: Maine
County and County Equivalent Listing
Lincoln County
Population Group:
Low Income - Augusta Dental Care Analysis Area
Population Group:
Low Income - Waterville Service Area
Facility:
John F. Andrews Family Care Center
Facility:
Lincoln Medical Partners-Damariscotta
Facility:
Lincoln Medical Partners-Waldoboro
Oxford County
Service Area:
Bridgton
Service Area:
Jay Service Area
Service Area:
Kingfield
Service Area:
Parsonsfield
Population Group:
Low Income - Bethel
Population Group:
Low Income - Fryeburg
Population Group:
Low Income - Norway Dental Care Catchment Area #14
Population Group:
Low Income - Rumford Dental Care Catchment Area
Penobscot County
Service Area:
Danforth
Service Area:
Island Falls
Population Group:
Low Income - Dover-Foxcroft
Population Group:
Low Income - Old Town
Population Group:
Low Income - Pittsfield Service Area
Population Group:
Low Income-Millinocket/Lincoln
Facility:
Corinna Family Practice
Facility:
Dexter Family Practice
Facility:
Dexter Internal Medicine
Facility:
Dorothea Dix Psychiatric Center
Facility:
Health Access Network
Facility:
Katahdin Valley Health
Facility:
Newport Family Practice
Facility:
Penobscot Community Health Center
Facility:
Penobscot Indian Nation
Facility:
Penobscot Valley Primary Care
Facility:
Sebasticook Family Doctors
Piscataquis County
Service Area:
Bingham Service Area
Population Group:
Low Income - Dover-Foxcroft
Population Group:
Low Income - Skowhegan
Population Group:
Low Income-Millinocket/Lincoln
Facility:
Dover-Foxcroft Family Medicine
Facility:
Guilford Medical Associates
Facility:
Milo Family Practice
Page 74 of 191 Pages
DENTAL CARE: Maine
County and County Equivalent Listing
Somerset County
Service Area:
Bingham Service Area
Service Area:
Jackman
Service Area:
Kingfield
Population Group:
Low Income - Dover-Foxcroft
Population Group:
Low Income - Pittsfield Service Area
Population Group:
Low Income - Skowhegan
Population Group:
Low Income - Waterville Service Area
Facility:
Healthreach Community Health Centers
Facility:
Sebasticook Regional Family Care (Rural Health Cli
Waldo County
Population Group:
Low Income - Belfast
Population Group:
Low Income - Waterville Service Area
Population Group:
Low Income-Rockland Service Area
Facility:
Arthur Jewell Community Health Center
Facility:
Stockton Springs Regional Health Center
Facility:
The Islesboro Health Center
Washington County
Service Area:
Calais
Service Area:
Danforth
Service Area:
Eastport
Service Area:
Machias
Population Group:
Low Income - Gouldsboro
Facility:
Calais Regional Medical Services
Facility:
Eastport Healthcare
Facility:
Harrington Family Health
Facility:
Passamaquoddy Pleasant Point Health Center
Facility:
Passamaquoddy Tribe Indian Township
Facility:
Regional Medical Center
Facility:
St. Croix Regional Family Health
York County
Service Area:
Parsonsfield
Population Group:
Low Income - Sanford Dental Care Analysis Area #3
Facility:
Sacopee Valley Health
Facility:
York County Community Action Corporation
Page 75 of 191 Pages
DENTAL CARE: Maryland
County and County Equivalent Listing
Allegany County
Population Group:
Facility:
Medicaid Eligible - Allegany County
Federal Correctional Institution - Cumberland
Anne Arundel County
Facility:
Owensville Primary Care
Baltimore City
Service Area:
South Baltimore-High Needs
Population Group:
Medicaid Eligible - East Baltimore City
Population Group:
Medicaid Eligible - East Central Baltimore
Population Group:
Medicaid Eligible - North Central Baltimore
Population Group:
Medicaid Eligible - West Baltimore City
Facility:
Baltimore Medical Systems
Facility:
Chase Brexton Health Services
Facility:
Family Health Centers of Baltimore, Inc.
Facility:
Health Care for the Homeless, Inc.
Facility:
Lifeline Foundation, Inc.
Facility:
Park West Medical Center
Facility:
People's Community Health Center
Facility:
Total Health Care
Caroline County
Service Area:
Caroline Service Area
Population Group:
Facility:
Medicaid Eligible - Federalsburg
Choptank Community Health
Cecil County
Population Group:
Facility:
Low Income Downtown Cecil
West Cecil Health Center, Inc.
Dorchester County
Population Group:
Medicaid Eligible - Dorchester County
Frederick County
Population Group:
Medicaid Eligible-Downtown Frederick
Garrett County
Population Group:
Facility:
Medicaid Eligible - Garrett County
Western Maryland Health Care Corporation
Harford County
Population Group:
Medicaid Eligible - Southern Harford
Kent County (Entire County HPSA)
Montgomery County
Facility:
Community Clinic, Inc. (Cci)
Prince George's County
Service Area:
Facility:
Brandywine Service Area
Greater Baden Medical Services
Page 76 of 191 Pages
DENTAL CARE: Maryland
County and County Equivalent Listing
Queen Anne's County
Service Area:
East Queen Annes
Somerset County
Population Group:
Facility:
Medicaid Eligible - Tri-County Lower Eastern Shore
Three Lower Counties Community Services
Talbot County
Service Area:
Cordova Service Area
Service Area:
Tilghman Service Area
Population Group:
Medicaid Eligible - Easton
Washington County
Population Group:
Medicaid Eligible - Washington County
Facility:
Tri-State Community Health Center, Inc.
Facility:
Walnut Street Community Health Center
Wicomico County
Population Group:
Medicaid Eligible - Tri-County Lower Eastern Shore
Worcester County
Population Group:
Medicaid Eligible - Tri-County Lower Eastern Shore
Page 77 of 191 Pages
DENTAL CARE: Massachusetts
County and County Equivalent Listing
Barnstable County
Service Area:
Lower Outer Cape Dhpsa 09
Service Area:
Mid-Cape Geographic Area
Service Area:
Upper Cape
Facility:
Cape Cod Free Clinic and Community Health Center
Facility:
Duffy Health Center, Inc.
Facility:
Mashpee Wampanoag Tribe
Facility:
Outer Cape Health
Berkshire County
Service Area:
Facility:
South Berkshire
Community Health Program
Bristol County
Facility:
Bristol County House of Corrections
Facility:
Greater New Bedford
Facility:
Healthfirst Family Care Center
Dukes County (Entire County HPSA)
Essex County
Facility:
Greater Lawrence Family Health
Facility:
Lynn Community Health Center
Facility:
North Shore Community Health
Franklin County
Population Group:
Facility:
Low Income-Greenfield, Montague and Sunderland
Community Health Center of Franklin County
Hampden County
Service Area:
Hillstowns
Facility:
Caring Health Center, Inc.
Facility:
Holyoke Health Center
Facility:
Springfield Public Health Department
Hampshire County
Service Area:
Facility:
Hillstowns
Hilltown Community Health Center, Inc.
Middlesex County
Facility:
Federal Medical Center Devens
Facility:
Lowell Community Health Center
Facility:
Massachusetts Correctional Institution Concord
Facility:
Massachusetts Correctional Institution Framingham
Facility:
Massachusetts Correctional Institution Shirley Medium Security
Facility:
Souza Baranowski Corrrectional Center
Nantucket County (Entire County HPSA)
Norfolk County
Facility:
Manet Community Health Center
Facility:
Massachusetts Correctional Institution - Cedar Junction
Page 78 of 191 Pages
DENTAL CARE: Massachusetts
County and County Equivalent Listing
Norfolk County
Facility:
Massachusetts Correctional Institution Norfolk
Plymouth County
Facility:
Brockton Neighborhood
Suffolk County
Population Group:
Low Income - Roxbury
Population Group:
Low Income - South End
Facility:
Boston Healthcare for the Homeless
Facility:
Codman Square Health Center
Facility:
Connecticut River Valley Farmworkers/Massachusetts
Facility:
Dimock Community Health Center
Facility:
Dorchester House Multi-Service Center
Facility:
East Boston
Facility:
Fenway Community Health Center
Facility:
Harbor Health
Facility:
Harvard Street Neighborhood Health Center
Facility:
Joseph M. Smith Community Health
Facility:
Mattapan Community Health
Facility:
North End Community
Facility:
Roxbury Comprehensive
Facility:
South Boston Community Health
Facility:
South Cove Community
Facility:
South End Community Health Center
Facility:
Upham's Corner Health Center
Facility:
Whittier Street Health
Worcester County
Population Group:
Low Income - New Fitchburg
Population Group:
Low Income - New Leominster
Population Group:
Low Income - Worcester
Facility:
Community Health Connections
Facility:
Community Healthlink
Facility:
Edward M. Kennedy Community Health Center
Facility:
Family Health Center of Worcester, Inc.
Facility:
North Central Correctional Institution
Page 79 of 191 Pages
DENTAL CARE: Michigan
County and County Equivalent Listing
Alcona County
Population Group:
Facility:
Alcona County - Medicaid Population
Alcona Health Center
Alger County
Population Group:
Medicaid Population - Alger County
Allegan County
Facility:
Match-East-Be-Nash-She-Wish Pottawatomi
Alpena County
Population Group:
Facility:
Alpena County - Medicaid Population
Alpena Medical Arts, Primary Care
Antrim County
Population Group:
Facility:
Medicaid Population - East Jordan Service Area
Kalkaska Family Practice Primary Care-Mancelona
Arenac County
Population Group:
Arenac County - Medicaid Population
Facility:
Augres St. Joseph Family Clinic
Facility:
Sterling Area Health
Baraga County
Population Group:
Medicaid Population-Baraga County
Bay County
Facility:
Pinconning Medical Care, Inc.
Benzie County
Population Group:
Medicaid Eligible - Benzie County
Berrien County
Population Group:
Medicaid Population - Berrien County
Facility:
Coloma Medical Center
Facility:
Community Medical Center
Calhoun County
Facility:
Family Health Center - Battle Creek
Facility:
Nottawaseppi Huron Band of Potawatomi Southern Hea
Cass County
Population Group:
Medicaid Population-Cass County
Facility:
Borgess Lee Medical Group - Dowagiac Clinic
Facility:
Borgess Lee Medical Group-Cassopolis Clinic
Facility:
Borgess Lee Medical Group-Division Street Clinic
Facility:
Bronson Lakeview Family Care-Marcellus
Facility:
Lakeland Immediate Care Center
Charlevoix County
Population Group:
Facility:
Medicaid Population - East Jordan Service Area
East Jordan Family Health
Cheboygan County
Population Group:
Medicaid Eligible-Cheboygan County
Page 80 of 191 Pages
DENTAL CARE: Michigan
County and County Equivalent Listing
Chippewa County
Population Group:
Chippewa County - Medicaid Population
Population Group:
Medicaid Population-Isabella County
Facility:
Bay Mills Indian Community
Facility:
Kinross Correctional Facility
Facility:
Riverside Medical Associates Primary Care
Clare County
Population Group:
Medicaid Population-Clare County
Crawford County
Population Group:
Medicaid Population-Crawford County
Delta County
Population Group:
Medicaid Population-Delta County
Facility:
Osf Medical Group-Escanaba
Facility:
Osf Medical Group-Gladstone
Dickinson County
Population Group:
Medicaid Eligible-Dickinson County
Facility:
Dickinson Family and Geriatric Clinic
Facility:
Dickinson Family Practice Clinic
Facility:
Dickinson Pediatric Clinic
Facility:
MMC-Kingsford Clinic
Facility:
Nordic Medical Center
Eaton County
Facility:
Riverside Family Practice
Genesee County
Population Group:
Low Income - Flint Service Area
Facility:
Genesee County Community Mental Health
Facility:
Hamilton Community Health Network, Inc.
Gladwin County
Population Group:
Medicaid Population - Gladwin County
Gogebic County
Population Group:
Gogebic County - Medicaid Population
Gratiot County
Population Group:
Medicaid Population-Gratiot County
Facility:
Ashley Family Care Center
Facility:
Ithaca Family Care Center
Facility:
Urgent Care Occupational Health
Hillsdale County
Population Group:
Facility:
Medicaid Population-Hillsdale County
Primary Care Associates of Jonesville, LLC
Houghton County
Population Group:
Low Income - Houghton County
Page 81 of 191 Pages
DENTAL CARE: Michigan
County and County Equivalent Listing
Huron County
Population Group:
Medicaid Population-Huron County
Ingham County
Facility:
Ingham County Health Department
Ionia County
Population Group:
Medicaid Population-Ionia County
Facility:
Charles R. Barker
Facility:
The Family Health Center Portland
Iosco County
Population Group:
Meidicaid Population-Iosco County
Iron County
Population Group:
Iron County - Medicaid Population
Isabella County
Population Group:
Facility:
Medicaid Population-Isabella County
Nimkee Memorial Wellness Center
Jackson County
Population Group:
Medicaid Population-Jackson County
Facility:
Center for Family Health, Inc.
Facility:
Springport Medical Clinic
Kalamazoo County
Facility:
Family Health Center, Inc.
Kalkaska County
Population Group:
Facility:
Medicaid Population-Kalkaska County
Kalkaska Memorial Health Center
Kent County
Facility:
Cherry Street Services
Facility:
Nottawaseppi Huron Band of the Potawatomi-Grand Ra
Facility:
St. Marys Health Service
Keweenaw County
Population Group:
Medicaid Eligible-Keweenaw County
Lake County
Facility:
Baldwin Family Health
Leelanau County
Facility:
Northwest Michigan Health Services, Inc.
Facility:
Tawas Bay Family Practice
Lenawee County
Population Group:
Facility:
Medicaid Eligible - Lenawee County
Health Specialists of Lenawee, P.C.
Luce County
Population Group:
Luce County - Medicaid Population
Mackinac County
Population Group:
MacKinac County - Medicaid Population
Page 82 of 191 Pages
DENTAL CARE: Michigan
County and County Equivalent Listing
Mackinac County
Facility:
Lambert Tribal Clinic
Manistee County
Population Group:
Manistee County - Medicaid Population
Facility:
Oaks Correctional Facility
Facility:
Wellston Medical Center
Marquette County
Population Group:
Medicaid Eligible-Marquette County
Facility:
Upper Great Lakes Family Health Center
Facility:
Upper Peninsula Association of Rural Health
Mason County
Population Group:
Facility:
Medicaid Eligible - Mason County
Primary Health Services
Mecosta County
Population Group:
Medicaid Eligible - Mecosta County
Missaukee County
Population Group:
Medicaid Population-Missaukee County
Monroe County
Facility:
Family Medical Center
Montcalm County
Population Group:
Facility:
Medicaid Eligible - Montcalm County
Carson Family Care Center
Montmorency County
Population Group:
Facility:
Medicaid Population-Montmorency County
Thunder Bay Community Health Services
Muskegon County
Facility:
Hackley Community Care Center
Facility:
Lakeshore Medical Center
Facility:
Muskegon Family Care Center
Newaygo County
Population Group:
Facility:
Medicaid Eligible - Newaygo County
Pine Medical Croup Primary Care
Oakland County
Facility:
Oakland Integrated Health Network (Oihn)
Facility:
Oakland Primary Health Services
Oceana County
Population Group:
Medicaid Eligible - Oceana County
Facility:
Lakeshore Medical Group
Facility:
Shelby Family Care
Ogemaw County
Population Group:
Facility:
Medicaid Population - Ogemaw County
Primary Care Practice - Alger
Page 83 of 191 Pages
DENTAL CARE: Michigan
County and County Equivalent Listing
Ogemaw County
Facility:
Primary Care Practice - West Branch
Ontonagon County
Population Group:
Medicaid Population - Ontonagon County
Osceola County
Population Group:
Medicaid Eligible - Osceola County
Facility:
Spectrum Health Evart Family Practice
Facility:
Spectrum Health Reed City Family Practice
Facility:
Spectrum Health Tustin Family Practice
Oscoda County
Population Group:
Medicaid Population-Scoda County
Otsego County
Facility:
Ostego Memorial Hospital Medcare Rural Health Clinic-Gaylord
Facility:
Otsego Memorial Hospital Rural Health Clinic-Center Ave
Presque Isle County
Population Group:
Medicaid Population - Presque Isle County
Roscommon County
Population Group:
Facility:
Medicaid Population-Roscommon County
Mid-Michigan Health Services
Saginaw County
Population Group:
Low Income-Saginaw County
Facility:
Health Delivery, Inc.
Facility:
Neighborhood Outreach Access to Health
Sanilac County
Population Group:
Medicaid Population-Sanilac County
Schoolcraft County
Population Group:
Facility:
Schoolcraft County - Medicaid Population
Manistique Tribal Health Clinic
Shiawassee County
Population Group:
Medicaid Population-Shiawassee County
Facility:
Arnold Medical Clinic C/O Memorial Healthcare
Facility:
Dba Ionia Family Practice/Ionia Associates, LLC
Facility:
Durand Family Health Center
St. Clair County
Facility:
Downriver Community Service
St. Joseph County
Facility:
Centreville Medical Care
Facility:
Primary Care White Pigeon
Facility:
Three Rivers Health
Tuscola County
Population Group:
Medicaid Population-Tuscola County
Page 84 of 191 Pages
DENTAL CARE: Michigan
County and County Equivalent Listing
Van Buren County
Population Group:
Medicaid Eligible-Van Buren County
Facility:
Bronson Lakeview Family Care-Decatur
Facility:
Bronson Lakeview Family Care-Lawton
Facility:
Bronson Lakeview Family Care-Mattawan
Facility:
Bronson Lakeview Family Care-Paw Paw
Facility:
Hartford Medical Center
Facility:
Intercare Community Health
Facility:
Lakeview Medical Center
Facility:
South Haven Community Hospital Cooper Rural Health Clinic
Facility:
South Haven Community Hospital Rural Health Clinic
Washtenaw County
Facility:
Federal Correctional Institution - Milan
Wayne County
Service Area:
Ecorse City Service Area
Population Group:
Low Income - River Rouge City
Population Group:
Low Income - Southwest Detroit
Facility:
American Indian Health and Family Svs of Southeast MI
Facility:
Charter County of Wayne
Facility:
Community Health and Social Services
Facility:
Covenant Community Care, Inc.
Facility:
Detroit Community Connection
Facility:
Detroit Health Care for the Homeless
Facility:
Health Centers Detroit Foundation, Inc.
Facility:
The Wellness Plan
Facility:
Western Wayne Family Health Center
Wexford County
Population Group:
Medicaid Eligible - Wexford County
Page 85 of 191 Pages
DENTAL CARE: Minnesota
County and County Equivalent Listing
Aitkin County
Population Group:
Low Income - Mille Lacs
Population Group:
Low Income - North Aitkin County
Anoka County
Facility:
Minnesota Correctional Facility - Lino Lakes
Becker County
Population Group:
Facility:
Low Income - Becker County
White Earth PHS Indian Hospital
Beltrami County
Population Group:
Facility:
Low Income - Beltrami County
PHS Indian Hospital - Red Lake
Big Stone County
Population Group:
Facility:
Low Income - Big Stone County
Graceville Health Center Clinic
Blue Earth County
Population Group:
Facility:
Low Income - Blue Earth County
Open Door Health Center
Brown County
Facility:
Sleepy Eye Medical Center
Carlton County
Population Group:
Low Income - Carlton County
Facility:
Fond Du Lac Min-No-Aya-Win Clinic
Facility:
Minnesota Correctional Facility - Moose Lake
Cass County
Population Group:
Low Income - Cass County
Facility:
Cass Lake Indian Heath Service Hospital
Facility:
Leech Lake Band of Ojibwe
Chippewa County
Population Group:
Low Income - Chippewa County
Chisago County
Facility:
Minnesota Correctional Facility - Rush City
Clay County
Facility:
Apple Tree Dental - Hawley
Facility:
Migrant Health Service
Clearwater County
Population Group:
Low Income - Clearwater County
Cook County
Population Group:
Facility:
Low Income - Cook County
Sawtooth Mountain Clinic
Cottonwood County
Population Group:
Low Income - Westbrook
Population Group:
Low Income - Windom_Mt Lake Service Area
Page 86 of 191 Pages
DENTAL CARE: Minnesota
County and County Equivalent Listing
Crow Wing County
Population Group: Low Income - Mille Lacs
Population Group: Low Income - Northern Crow Wing
Douglas County
Population Group: Low Income - Douglas County
Faribault County
Population Group: Low Income - Faribault
Fillmore County
Population Group: Low Income - Fillmore County
Freeborn County
Population Group: Low Income - Freeborn County
Grant County
Population Group: Low Income - Grant County
Hennepin County
Population Group: Low Income - Central Minneapolis Service Area
Population Group: Low Income - North Minneapolis
Population Group: Low Income - Northeast Minneapolis
Facility:
Cedar Riverside People's Center
Facility:
Dba Axis Community Health Center
Facility:
Fremont Community Health
Facility:
Hennepin County Health Care for the Homeless
Facility:
Indian Health Board
Facility:
Native American Community Clinic
Facility:
Northpoint Health and Wellness Center
Facility:
Southside Community
Facility:
University of Minnesota Community Health Care
Hubbard County
Population Group:
Low Income - Hubbard County
Itasca County
Population Group:
Low Income - Bigfork
Population Group:
Low Income - Grand Rapids
Jackson County
Population Group:
Low Income - Jackson County
Kanabec County
Population Group:
Low Income - Kanabec County
Kittson County
Population Group:
Low Income - Kittson County
Koochiching County
Population Group:
Low Income - Koochiching
Lac qui Parle County
Population Group:
Low Income - Lac Qui Parle
Page 87 of 191 Pages
DENTAL CARE: Minnesota
County and County Equivalent Listing
Lake of the Woods County
Population Group:
Lake of the Wood County
Lincoln County
Population Group:
Low Income - Lincoln County
Lyon County
Population Group:
Low Income - Tracy
Mahnomen County
Population Group:
Low Income - Mahnomen County
Marshall County (Entire County HPSA)
Martin County
Population Group:
Low Income - Martin County
Mille Lacs County
Population Group:
Low Income - Mille Lacs
Population Group:
Low Income - South Mille Lacs
Facility:
Mille Lacs Band of Ojibwe Behavioral Health
Facility:
Mille Lacs Family Clinic-Onamia
Facility:
Mille Lacs Health System-Isle
Facility:
Ne-Ia-Shing Clinic
Morrison County
Population Group:
Low Income - Mille Lacs
Population Group:
Low Income - West Morrison County
Facility:
Mille Lacs Family Clinic-Hillman
Mower County
Population Group:
Low Income - Mower County
Murray County
Population Group:
Low Income - Murray County
Nobles County
Population Group:
Low Income - Nobles County
Norman County
Population Group:
Low Income - Norman County
Olmsted County
Facility:
Federal Medical Center - Rochester
Otter Tail County
Population Group:
Low Income - Otter Tail County
Pennington County
Population Group:
Low Income - Pennington County
Pine County
Facility:
Federal Correctional Institution - Sandstone
Pipestone County
Population Group:
Low Income - Pipestone County
Polk County
Population Group:
Low Income - Polk County
Page 88 of 191 Pages
DENTAL CARE: Minnesota
County and County Equivalent Listing
Pope County
Population Group:
Low Income - Pope County
Ramsey County
Population Group:
Low Income - Central St. Paul
Population Group:
Low Income - Riverview/St. Paul
Facility:
Model Cities Health Center
Facility:
United Family Practice Health Center
Facility:
Westside Community Health Center
Red Lake County
Population Group:
Low Income - Red Lake County
Redwood County
Population Group:
Low Income - Tracy
Renville County
Population Group:
Low Income - Renville County
Rice County
Facility:
Minnesota Correctional Facility - Faribault
Rock County
Population Group:
Low Income - Rock County
Scott County
Facility:
Minnesota Correctional Facility - Shakopee
Facility:
Shakopee Mdewakanton Sioux Community
Sherburne County
Facility:
Minnesota Correctional Facility - St Cloud
Sibley County
Facility:
Sibley Medical Clinic
St. Louis County
Service Area:
Cook/Orr
Service Area:
Floodwood
Population Group:
Low Income - Ely
Population Group:
Low Income - Virginia
Population Group:
Low Income-Aurora/Hoyt Lakes
Facility:
Bois Forte Tribal Clinic
Facility:
Cook Area Health Services, Inc.
Facility:
Lake Superior Community Health Center
Stearns County
Population Group:
Facility:
Low Income - Western Rural Stearns
Albany Medical Center
Stevens County
Population Group:
Facility:
Low Income - Stevens County
Chokio Medical Center
Swift County
Population Group:
Low Income - Swift County
Page 89 of 191 Pages
DENTAL CARE: Minnesota
County and County Equivalent Listing
Todd County
Population Group:
Facility:
Low Income - Todd County
Bertha Medical Clinic
Traverse County
Population Group:
Low Income - Traverse County
Wadena County
Population Group:
Low Income - Wadena County
Waseca County
Facility:
Federal Correctional Institution - Waseca
Washington County
Facility:
Minnesota Correctional Facility - Stillwater
Watonwan County
Population Group:
Low Income - Watonwan County
Wilkin County
Population Group:
Low Income - Wilkin County
Winona County
Population Group:
Low Income - Winona County
Yellow Medicine County
Service Area:
West Yellow Medicine County
Page 90 of 191 Pages
DENTAL CARE: Mississippi
County and County Equivalent Listing
Adams County (Entire County HPSA)
Alcorn County
Population Group:
Low Income - Alcorn County
Amite County (Entire County HPSA)
Facility:
Amite County Medical
Attala County (Entire County HPSA)
Benton County (Entire County HPSA)
Facility:
North Benton County Health
Bolivar County (Entire County HPSA)
Facility:
Delta Health Center, Inc.
Calhoun County (Entire County HPSA)
Carroll County (Entire County HPSA)
Chickasaw County
Population Group:
Low Income - Chickasaw
Choctaw County (Entire County HPSA)
Claiborne County (Entire County HPSA)
Facility:
Claiborne County Family Health Center
Clarke County (Entire County HPSA)
Facility:
Outreach Health Services
Clay County (Entire County HPSA)
Coahoma County (Entire County HPSA)
Facility:
Aaron E. Henry Community Health Center
Copiah County
Population Group:
Low Income - Copiah County
Covington County (Entire County HPSA)
Forrest County
Population Group:
Facility:
Low Income - Forrest
Southeast MS Rural Health Initiative
Franklin County (Entire County HPSA)
George County
Population Group:
Low Income - George County
Greene County (Entire County HPSA)
Facility:
Greene Area Medical Extenders, Inc.
Facility:
South Mississippi Correctional Institution
Grenada County (Entire County HPSA)
Hancock County
Population Group:
Low Income - Hancock County
Harrison County
Population Group:
Facility:
Low Income - Harrison County
Coastal Family Health Center
Hinds County
Population Group:
Low Income - Hinds County
Page 91 of 191 Pages
DENTAL CARE: Mississippi
County and County Equivalent Listing
Hinds County
Facility:
Central Mississippi Civic Improvement
Facility:
Central Mississippi Health Services
Holmes County (Entire County HPSA)
Facility:
Dr. Arenia C. Mallory Community Health Center
Humphreys County (Entire County HPSA)
Issaquena County
Service Area:
Issaquena-Sharkey
Itawamba County (Entire County HPSA)
Facility:
Mantachie Rural Health Care, Inc.
Jackson County
Population Group:
Low Income - Jackson
Jasper County (Entire County HPSA)
Jefferson County (Entire County HPSA)
Facility:
Jefferson Comprehensive
Jefferson Davis County (Entire County HPSA)
Jones County
Population Group:
Low Income - Jones
Facility:
Family Health Center Inc. - Laurel
Facility:
Sandersville Family
Kemper County (Entire County HPSA)
Lafayette County (Entire County HPSA)
Lamar County
Population Group:
Low Income - Lamar
Lauderdale County
Population Group:
Facility:
Low Income - Lauderdale County
Greater Meridian Health Clinic
Lawrence County
Population Group:
Low Income - Lawrence
Leake County (Entire County HPSA)
Lee County
Population Group:
Low Income - Lee County
Leflore County (Entire County HPSA)
Lincoln County
Population Group:
Low Income - Lincoln
Lowndes County (Entire County HPSA)
Madison County
Facility:
G. A. Carmichael Family Health Center
Marion County (Entire County HPSA)
Marshall County (Entire County HPSA)
Facility:
Northeast Mississippi
Page 92 of 191 Pages
DENTAL CARE: Mississippi
County and County Equivalent Listing
Monroe County
Population Group:
Low Income - Monroe County
Facility:
Access Family Health Services
Facility:
Chestnut Medical Clinic
Facility:
Pioneer Family Medical
Montgomery County (Entire County HPSA)
Neshoba County (Entire County HPSA)
Facility:
Choctaw Health Center
Facility:
Mississippi Band of Choctaw Indians
Newton County (Entire County HPSA)
Noxubee County (Entire County HPSA)
Oktibbeha County (Entire County HPSA)
Panola County (Entire County HPSA)
Pearl River County (Entire County HPSA)
Perry County (Entire County HPSA)
Pike County
Population Group:
Low Income - Pike County
Pontotoc County (Entire County HPSA)
Prentiss County
Population Group:
Low Income - Prentiss County
Quitman County (Entire County HPSA)
Rankin County
Facility:
Central Mississippi Correctional Facility
Facility:
Family Healthcare Clinic-Pearl
Scott County
Population Group:
Facility:
Low Income - Scott
East Central Mississippi Health Care, Inc.
Sharkey County
Service Area:
Issaquena-Sharkey
Simpson County (Entire County HPSA)
Smith County (Entire County HPSA)
Stone County (Entire County HPSA)
Sunflower County (Entire County HPSA)
Facility:
Mississippi State Penitentiary
Tallahatchie County (Entire County HPSA)
Tate County (Entire County HPSA)
Tippah County (Entire County HPSA)
Tishomingo County (Entire County HPSA)
Tunica County (Entire County HPSA)
Union County (Entire County HPSA)
Walthall County (Entire County HPSA)
Page 93 of 191 Pages
DENTAL CARE: Mississippi
County and County Equivalent Listing
Warren County
Population Group:
Low Income - Warren County
Washington County (Entire County HPSA)
Wayne County (Entire County HPSA)
Webster County (Entire County HPSA)
Wilkinson County
Population Group:
Low Income - Wilkinson
Winston County (Entire County HPSA)
Yalobusha County (Entire County HPSA)
Yazoo County (Entire County HPSA)
Facility:
Federal Correctional Institution - Yazoo City
Page 94 of 191 Pages
DENTAL CARE: Missouri
County and County Equivalent Listing
Adair County
Population Group:
Facility:
Low Income - Adair County
Northeast Missouri Health Council
Andrew County (Entire County HPSA)
Atchison County
Population Group:
Low Income - Atchison County
Audrain County
Population Group:
Facility:
Low Income - Audrain County
Hannibal Clinic Vandalia
Barry County
Population Group:
Low Income - Barry County
Barton County (Entire County HPSA)
Bates County
Population Group:
Low Income-Bates County
Benton County
Population Group:
Low Income - Benton County
Bollinger County
Population Group:
Low Income - Bollinger County
Boone County
Population Group:
Facility:
Low Income - Boone County
Family Health Center of Boone County
Buchanan County
Population Group:
Facility:
Low Income - Buchanan County
Northwest Health Services
Butler County
Population Group:
Low Income - Butler County
Caldwell County
Population Group:
Low Income - Caldwell County
Callaway County
Population Group:
Low Income - Callaway County
Camden County
Population Group:
Low Income - Camden
Cape Girardeau County
Population Group:
Facility:
Low Income - Cape Girardeau County
Cross Trails Medical Center
Carroll County
Population Group:
Low Income - Carroll
Carter County (Entire County HPSA)
Cass County
Facility:
Archie Medical Clinic
Facility:
Harrisonville Medical Clinic
Facility:
Pleasant Hill Medical Clinic
Page 95 of 191 Pages
DENTAL CARE: Missouri
County and County Equivalent Listing
Cedar County
Population Group:
Low Income - Cedar County
Chariton County (Entire County HPSA)
Christian County
Population Group:
Low Income - Christian County
Clark County
Population Group:
Low Income - Clark County
Cole County
Population Group:
Low Income - Cole County
Cooper County
Population Group:
Low Income - Cooper County
Crawford County (Entire County HPSA)
Dade County (Entire County HPSA)
Dallas County (Entire County HPSA)
Daviess County
Population Group:
Low Income - Daviess County
DeKalb County
Population Group:
Low Income - Dekalb County
Dent County
Population Group:
Low Income - Dent County
Douglas County
Population Group:
Facility:
Low Income - Douglas County
Douglas County Public Health Center
Gasconade County
Population Group:
Low Income - Gasconade County
Gentry County
Population Group:
Facility:
Low Income - Gentry County
Northwest Medical Center (Stanberry)
Greene County
Population Group:
Low Income - Greene County
Facility:
Advocates for a Healthy Community/Dba Jordan Valle
Facility:
Medical Center for Federal Prisons - Springfield
Grundy County
Population Group:
Low Income - Grundy County
Harrison County
Population Group:
Low Income - Harrison County
Henry County
Population Group:
Low Income - Henry County
Hickory County (Entire County HPSA)
Facility:
Lake Area Primary Care Clinic
Facility:
Ozarks Resource Group
Page 96 of 191 Pages
DENTAL CARE: Missouri
County and County Equivalent Listing
Holt County
Population Group:
Low Income - Holt County
Howard County
Population Group:
Low Income - Howard County
Howell County
Population Group:
Facility:
Low Income - Howell County
Rural Alliance for Better Health
Iron County (Entire County HPSA)
Jackson County
Population Group:
Low Income - Central Kansas City
Population Group:
Low Income - North Kansas City
Facility:
Pineville Medical Clinic
Facility:
Samuel Rogers Health
Facility:
Swope Health Services
Jasper County
Population Group:
Facility:
Low Income - Jasper County
Ozark Tricounty Health Center
Jefferson County
Service Area:
Facility:
Hillsboro/Desoto
Community Treatment Inc.
Johnson County
Population Group:
Low Income - Johnson County
Laclede County
Population Group:
Low Income - Laclede County
Lafayette County
Population Group:
Facility:
Low Income - Lafayette County
Family Health Medical Practice
Lawrence County
Population Group:
Low Income - Lawrence County
Lewis County
Population Group:
Low Income - Lewis County
Facility:
Quincy Medical Group - Canton
Facility:
Quincy Medical Group - Lewistown Rural Health
Facility:
Quincy Medical Group-Labelle Rural Health
Lincoln County
Facility:
Elsberry Family Health
Linn County (Entire County HPSA)
Livingston County
Population Group:
Low Income - Livingston County
Macon County
Population Group:
Low Income - Macon County
Madison County (Entire County HPSA)
Page 97 of 191 Pages
DENTAL CARE: Missouri
County and County Equivalent Listing
Maries County
Population Group:
Low Income - Maries County
Marion County
Population Group:
Low Income - Marion County
Facility:
Hannibal Clinic-Palmyra
Facility:
Salt River Community Health Center
McDonald County
Population Group:
Low Income - McDonald County
Facility:
Anderson Rural Health Clinic
Facility:
Goodman Family Clinic
Facility:
Southwest City Community Clinic
Mercer County (Entire County HPSA)
Miller County
Population Group:
Low Income - Miller
Mississippi County
Population Group:
Low Income - Mississippi County
Moniteau County
Population Group:
Low Income - Moniteau County
Monroe County
Population Group:
Low Income - Monroe County
Montgomery County (Entire County HPSA)
Morgan County (Entire County HPSA)
New Madrid County
Population Group:
Facility:
Low Income - New Madrid County
Southeast Missouri Health Network, Inc.
Newton County
Population Group:
Facility:
Low Income - Newton County
Eastern Shawnee Tribe
Nodaway County
Population Group:
Low Income - Nodaway County
Oregon County (Entire County HPSA)
Osage County
Population Group:
Facility:
Low Income-Osage
Community Health Center of Central Missouri
Ozark County
Population Group:
Low Income - Ozark County
Pemiscot County (Entire County HPSA)
Perry County
Population Group:
Low Income - Perry County
Pettis County
Population Group:
Facility:
Low Income - Pettis County
Regional Health Care Clinic, Inc./Katy Trail
Page 98 of 191 Pages
DENTAL CARE: Missouri
County and County Equivalent Listing
Phelps County
Population Group:
Facility:
Low Income - Phelps County
Hannibal Clinic-Hannibal
Pike County
Population Group:
Facility:
Low Income - Pike County
Hannibal Clinic-Bowling Green
Polk County
Population Group:
Low Income - Polk County
Pulaski County
Population Group:
Facility:
Low Income - Pulaski County
Central Ozark Medical
Putnam County
Population Group:
Low Income - Putnam County
Ralls County
Facility:
Hannibal Clinic Center
Randolph County
Facility:
Moberly Correctional Center
Reynolds County (Entire County HPSA)
Facility:
Missouri Highlands Health Care
Saline County
Population Group:
Low Income - Saline County
Schuyler County
Population Group:
Low Income - Schuyler County
Scotland County
Population Group:
Low Income - Scotland County
Scott County
Population Group:
Low Income - Scott County
Shannon County (Entire County HPSA)
Shelby County (Entire County HPSA)
St. Charles County
Facility:
Crider Health Center
St. Clair County (Entire County HPSA)
Facility:
Osceola Rural Health Clinic
Facility:
Sac-Osage Hospital Tri-County Clinic
St. Francois County
Population Group:
Low Income - St. Francois County
St. Louis City
Population Group:
Low Income - East Central St. Louis
Population Group:
Low Income - North St. Louis
Population Group:
Low Income - Southeast St. Louis
Population Group:
Low Income - West Central St. Louis
Facility:
Family Care Health Centers
Page 99 of 191 Pages
DENTAL CARE: Missouri
County and County Equivalent Listing
St. Louis City
Facility:
Grace Hill
Facility:
Myrtle Hilliard Davis Comprehensive Heal
Facility:
People's Health Centers
Ste. Genevieve County
Population Group:
Low Income - St. Genevieve County
Stoddard County (Entire County HPSA)
Vernon County
Population Group:
Low Income - Vernon County
Washington County (Entire County HPSA)
Facility:
Great Mines Health Center
Wayne County (Entire County HPSA)
Webster County
Population Group:
Facility:
Low Income - Webster County
Fordland Clinic Inc.
Worth County (Entire County HPSA)
Wright County
Population Group:
Low Income - Wright County
Page 100 of 191 Pages
DENTAL CARE: Montana
County and County Equivalent Listing
Beaverhead County
Population Group:
Low Income - Beaverhead County
Big Horn County (Entire County HPSA)
Facility:
Big Horn Valley Health Center
Facility:
Crow Agency PHS Indian Hospital
Facility:
Crow-Lodge Grass Clinic
Facility:
Crow-Pryor Health Station
Blaine County
Service Area:
Havre
Facility:
Fort Belknap PHS Indian Hospital
Facility:
Harlem PHS Indian Hospital
Facility:
Hays Clinic/Eagle Child Health Center
Facility:
Sweet Medical Center, Inc.
Carter County
Service Area:
Fallon/Ekalaka
Population Group:
Low Income-Miles City
Cascade County
Population Group:
Low Income - Cascade County
Facility:
Cascade City County Health Department/Community He
Facility:
Indian Family Health Clinic
Facility:
Lodge Grass Health Clinic
Chouteau County (Entire County HPSA)
Custer County
Population Group:
Facility:
Low Income-Miles City
Custer County Community Health Center
Daniels County
Population Group:
Low Income - Daniels County
Dawson County
Population Group:
Low Income - Glendive
Fallon County
Service Area:
Fallon/Ekalaka
Fergus County
Facility:
Central Montana Community Health Center
Flathead County
Population Group:
Facility:
Low Income - Flathead County
Flathead City-County Health Department
Garfield County
Population Group:
Low Income-Miles City
Glacier County
Facility:
Blackfeet Tribal Health Department
Facility:
Browning PHS Indian Hospital
Facility:
Glacier Community Health Center
Page 101 of 191 Pages
DENTAL CARE: Montana
County and County Equivalent Listing
Golden Valley County (Entire County HPSA)
Granite County
Service Area:
Phillipsburg Service Area
Hill County
Service Area:
Havre
Facility:
Bullhook Community Health Center
Facility:
Rocky Boy Tribal Health Department
Judith Basin County (Entire County HPSA)
Lake County
Population Group:
Low Income - Lake County
Facility:
Flathead Tribal Health and Human Services
Facility:
The Confederated Salish and Kootenai Tribal Health D
Lewis and Clark County
Facility:
Helena Indian Alliance
Facility:
Lewis and Clark City/County Health Department
Lincoln County
Facility:
Lincoln County Community Health Center
Madison County (Entire County HPSA)
McCone County
Population Group:
Low Income - Glendive
Mineral County (Entire County HPSA)
Facility:
Mineral Regional Health Center
Missoula County
Facility:
Missoula City/County Health Department
Facility:
Missoula Indian Center
Park County
Facility:
Community Health Partners
Facility:
Livingston Healthcare Dba Park Clinic
Facility:
Park Clinic - West Crawford
Petroleum County (Entire County HPSA)
Phillips County (Entire County HPSA)
Pondera County
Facility:
Heart Butte Clinic
Powder River County
Population Group:
Low Income-Miles City
Prairie County
Population Group:
Low Income - Glendive
Population Group:
Low Income-Miles City
Ravalli County
Population Group:
Low Income - Ravalli County
Roosevelt County
Population Group:
Low Income - Roosevelt County
Page 102 of 191 Pages
DENTAL CARE: Montana
County and County Equivalent Listing
Roosevelt County
Facility:
Fort Peck Tribal Health Project
Facility:
Poplar PHS Indian Health Center
Facility:
Wolf Point PHS Indian Health Center
Rosebud County (Entire County HPSA)
Facility:
Ashland Community Health Center
Facility:
Lame Deer PHS Indian Health Center
Facility:
Northern Cheyenne Tribal Health Department
Facility:
Rosebud Health Care Center
Sanders County (Entire County HPSA)
Sheridan County
Population Group:
Low Income - Sheridan County
Silver Bow County
Population Group:
Low Income - Silver Bow County
Facility:
Butte-Silverbow Primary Health Care
Facility:
North American Indian Alliance
Teton County
Population Group:
Low Income - Teton County
Toole County
Facility:
Marias Healthcare Services, Inc.
Wheatland County (Entire County HPSA)
Wibaux County
Population Group:
Low Income - Glendive
Yellowstone County
Facility:
Indian Health Board of Billings
Facility:
Montana Migrant
Facility:
Yellowstone City/County Health Department
Page 103 of 191 Pages
DENTAL CARE: Nebraska
County and County Equivalent Listing
Burt County
Facility: Cottonwood Rural Health Clinic
Facility: Oakland Family Practice
Cass County
Facility: Weeping Water Medical Center
Cedar County
Facility: Laurel Mercy Medical Clinic
Cherry County
Facility: Valentine Medical Clinic, LLC
Clay County
Facility: Edgar Medical Center
Colfax County
Facility: Alegent Health Clarkson Clinic
Facility: Alegent Health Howells Clinic
Facility: Alegent Health Schuyler Clinic
Facility: Howells Family Practice
Cuming County
Facility: Dinklage Medical Clinic
Facility: Wisner Family Practice
Custer County
Facility: Callaway Medical Clinic
Dawes County
Facility: Legend Buttes Health Services Center
Dawson County
Facility: Gothenburg Medical Arts Rural Health Clinic
Dodge County
Facility: Scribner Medical Clinic
Douglas County
Facility: Charles Drew Medical Clinic
Facility: Fred Leroy Health and Wellness Clinic
Facility: Nebraska Urban Indian Health Coalition
Facility: One World Community Health Center
Dundy County
Population Group:
Facility:
Medicaid Eligible - Dundy County
Quality Heathcare Services Medical Clinic
Fillmore County
Facility:
Fillmore County Medical Center, P.C.
Gage County
Facility:
Adams Primary Care
Facility:
Gage County Medical Clinic
Facility:
Women's Health Center-Beatrice
Page 104 of 191 Pages
DENTAL CARE: Nebraska
County and County Equivalent Listing
Garden County
Facility:
Garden County Hospital Rural Health Clinic
Garfield County
Facility:
Burwell Medical Clinic
Hitchcock County
Facility:
Quality Healthcare Services Medical Clinic
Holt County
Facility:
Avera Holt County Medical Clinic
Facility:
Avera O'Neill Family Medicine
Facility:
Greater Sandhill's Family Healthcare, Primary Care
Facility:
Grtr Sandhills Family Healthcare-Stuart
Facility:
West Holt Medical Clinic
Jefferson County
Population Group:
Medicaid Eligible - Jefferson County
Johnson County
Facility:
Tecumseh Family Health Care
Kimball County
Facility:
Kimball County Hospital Clinic
Knox County
Facility:
Northern Ponca Tribe of Nebraska
Facility:
Santee Sioux Nation
Lancaster County
Facility: Nebraska Urban Indian Medical Center
Facility: People's Health Center
Facility: Ponca Tribe of Nebraska
Lincoln County
Facility: Brady Rural Health Clinic
Madison County
Facility: Norfolk Community Health Care Clinic
Facility: Ponca Hills Health and Wellness Center
Merrick County
Facility: Lone Tree Medical Associates, P.C.
Nance County
Facility: Lone Tree Medical Associates - Fullerton
Facility: Park Street Medical Clinic
Nuckolls County
Facility:
Dba Superior Family Medical Center
Facility:
Superior Family Medical Center
Otoe County
Facility:
Nebraska City Medical Clinic
Facility:
Syracuse Medical Center
Page 105 of 191 Pages
DENTAL CARE: Nebraska
County and County Equivalent Listing
Pawnee County
Facility:
Pawnee County Rural Health Clinic
Platte County
Facility:
Good Neighbor Community Health Center
Richardson County
Facility:
Family Medicine
Facility:
Humboldt Family Medicine
Rock County
Facility:
Greater Sandhills Family Healthcare-Bass
Scotts Bluff County
Facility:
Panhandle Community
Sheridan County
Facility:
Gordon Clinic
Thayer County
Facility:
Bruning Medical Clinic
Facility:
Chester Medical Clinic
Facility:
Davenport Medical Clinic
Facility:
Deshler Medical Clinic
Facility:
Thayer County Health Services
Thurston County
Facility:
Carl T. Curtis Health Center
Facility:
Winnebago PHS Indian Hospital
Valley County
Facility:
North Loup Medical Clinic
Facility:
Vchs Medical Clinic (Formerly Ord Family Health Center)
Washington County
Facility:
Fort Calhoun Clinic
Facility:
Mch Physicians
Wayne County
Facility:
Wayne Mercy Medical Clinic
Page 106 of 191 Pages
DENTAL CARE: Nevada
County and County Equivalent Listing
Carson City
Facility:
Nevada Health Centers
Facility:
Northern Nevada Correctional Center
Facility:
Warm Springs Correctional Center
Churchill County
Facility:
Fallon Health Center
Clark County
Service Area:
North Clark
Population Group:
Low Income - Central Las Vegas
Population Group:
Low Income - South Clark - Searchlight/Laughlin
Population Group:
Low Income - West Central Las Vegas
Population Group:
Low Income-East Central Las Vegas
Population Group:
Low Income-South Central Las Vegas
Facility:
Florence McClure Correctional Center
Facility:
High Desert Correctional Center
Facility:
Moapa Health Clinic
Facility:
Southern Desert Correctional Center (Sdcc)
Douglas County
Facility:
Topaz Ranch Medical Clinic
Elko County
Service Area:
Central Elko Service Area
Service Area:
Elko/Wendover
Service Area:
Northern Elko Service Area
Facility:
Elko Health Center
Facility:
Owyhee Community Hospital
Facility:
Southern Bands Clan Health Center
Esmeralda County (Entire County HPSA)
Eureka County (Entire County HPSA)
Humboldt County
Facility:
Fort McDermitt Tribal Health Center
Lander County (Entire County HPSA)
Lincoln County (Entire County HPSA)
Lyon County
Facility:
Yerington Paiute Tribe
Mineral County (Entire County HPSA)
Facility:
Walker River Paiute Tribal Health Center
Nye County
Service Area:
Facility:
Northern Nye County
Duckwater Shoshone Tribe
Pershing County (Entire County HPSA)
Facility:
Lovelock Correctional Center
Storey County (Entire County HPSA)
Page 107 of 191 Pages
DENTAL CARE: Nevada
County and County Equivalent Listing
Washoe County
Population Group:
Low Income - Reno/Sparks
Facility:
Health Access Washoe
Facility:
Nevada Urban Indians, Inc.
Facility:
Pyramid Lake Tribal Health Center
Facility:
Reno Sparks Shoshone Paiute Health Center
White Pine County
Population Group:
Low Income - White Pine County
Facility:
Ely Health Station
Facility:
Ely State Prison
Facility:
Newe Medical Clinic\Ely Shoshone Tribe
Page 108 of 191 Pages
DENTAL CARE: New Hampshire
County and County Equivalent Listing
Belknap County
Population Group:
Low Income - Plymouth
Carroll County
Facility:
Saco River Medical Group
Coos County
Population Group:
Low Income - Coos
Facility:
Coos County Family Health Services
Facility:
Indian Stream Health Center
Facility:
Weeks Medical Center - Groveton
Facility:
Weeks Medical Center - Whitefield
Grafton County
Population Group:
Low Income - Northern Grafton
Population Group:
Low Income - Plymouth
Facility:
Ammonoosuc Community Health Services
Facility:
Cottage Hospital Internal Medicine
Facility:
Mid State Health Center
Hillsborough County
Facility:
Harbor Homes, Inc.
Facility:
Manchester Community Health Center
Facility:
Manchester Health Care for the Homeless
Merrimack County
Population Group:
Low Income - Plymouth
Facility:
Health First Family Care
Facility:
State Correctional Institution Prison for Men - County
Rockingham County
Facility:
Families First of the Greater Seacoast
Facility:
Lamprey Healthcare
Strafford County
Facility:
Avis Goodwin Community Health Center
Sullivan County
Facility:
Charlestown Family Medical
Facility:
Newport Health Center
Page 109 of 191 Pages
DENTAL CARE: New Jersey
County and County Equivalent Listing
Atlantic County
Facility:
Atlanticare Health Services
Facility:
Southern Jersey Family Medical
Burlington County
Facility:
Federal Correctional Institution - Fort Dix
Camden County
Facility:
Camcare Health Corporation
Facility:
Project H.O.P.E. Inc.
Cumberland County
Facility:
Community Healthcare
Facility:
Federal Correctional Institution - Fairton
Essex County
Facility:
Newark City Health and Human Services
Facility:
Newark Community Health
Hudson County
Facility:
Horizon Health Center
Facility:
Metropolitan Family Health Network
Facility:
North Hudson Community Action Corporation
Mercer County
Facility:
Henry J. Austin Health
Middlesex County
Facility:
Chandler Health
Facility:
Jewish Renaissance Medical Center
Monmouth County
Facility:
Monmouth Family Health Center
Facility:
Visiting Nurse Association of Cent Jersy Community
Morris County
Facility:
Zufall Community Clinic
Ocean County
Facility:
Lakewood Resource and Referral Center Dba Chemed
Facility:
Ocean Health Initiatives, Inc.
Passaic County
Facility:
Paterson Community Health Center
Union County
Facility:
Immigration and Customs Enforcement - Elizabeth
Facility:
Plainfield Neighborhood Health Services
Page 110 of 191 Pages
DENTAL CARE: New Mexico
County and County Equivalent Listing
Bernalillo County
Service Area:
Southwest Valley Service Area
Population Group:
Low Income - North Valley
Facility:
Albuquerque Healthcare
Facility:
Albuquerque PHS Indian Hospital
Facility:
First Choice Community Healthcare, Inc.
Facility:
First Nations Community Health
Catron County (Entire County HPSA)
Chaves County
Population Group:
Low Income - Chaves County
Cibola County (Entire County HPSA)
Facility:
Acoma-Canoncito-Laguna PHS Health Center
Facility:
New Sunrise Regional Treatment Center
Facility:
Pine Hill Indian Health Center
Facility:
Pueblo of Laguna of Community Health and Wellness
Facility:
To'Hajiiilee Canoncito Health Center
Colfax County
Population Group:
Low Income - Colfax County
Curry County
Population Group:
Low Income - Curry County
De Baca County
Population Group:
Facility:
Low Income - De Baca County
Debaca Hospital/Family Practice Center
Dona Ana County
Service Area:
Dona Ana Hill Service Area
Service Area:
Hatch
Service Area:
Southern Dona Ana
Facility:
Ben Archer Community Health Center
Facility:
La Clinica De Familia
Eddy County
Population Group:
Low Income - Eddy County
Grant County
Population Group:
Low Income - Grant County
Guadalupe County (Entire County HPSA)
Facility:
Guadalupe Correctional Facility
Harding County (Entire County HPSA)
Hidalgo County (Entire County HPSA)
Facility:
Hidalgo Medical Service
Lea County (Entire County HPSA)
Lincoln County
Population Group:
Facility:
Low Income - Lincoln County
Carrizozo Health Center
Page 111 of 191 Pages
DENTAL CARE: New Mexico
County and County Equivalent Listing
McKinley County
Facility:
Crownpoint Comprehensive Health Center
Facility:
Gallup Indian Medical Center
Facility:
Presbyterian Medical Services
Facility:
Tohatchi PHS Indian Health Center
Facility:
Zuni PHS Indian Hospital
Mora County (Entire County HPSA)
Facility:
Mora Valley Community Health Services, Inc.
Otero County (Entire County HPSA)
Facility:
Mescalero PHS Indian Hospital
Quay County (Entire County HPSA)
Rio Arriba County
Service Area:
North/Western Rio Arriba
Service Area:
Penasco/Truchas/Embudo
Population Group:
Low Income - Espanola
Facility:
Circle of Life Behavioral Health
Facility:
El Centro Family Health
Facility:
Jicarilla PHS Indian Health Center
Facility:
La Clinica Del Pueblo De Rio Arriba
Facility:
Las Clinicas Del Norte
Roosevelt County
Population Group:
Facility:
Low Income - Roosevelt County
Las Casa De Buena Salud
San Juan County
Facility:
Dzilth-Na-O-Dith-Hle PHS Indian Health Center
Facility:
Northern Navajo Medical Center
San Miguel County
Population Group:
Facility:
Low Income - San Miguel County
Pecos Valley Medical
Sandoval County
Service Area:
Cuba (North Sandoval)
Facility:
Cochiti Health Clinic
Facility:
El Pueblo Health Services
Facility:
Jemez Health and Human Services
Facility:
Sandia Health Clinic
Facility:
Zia Health Clinic
Facility:
Zia Pueblo Health Program
Santa Fe County
Service Area:
Cerrillos/Madrid/Edgewood
Population Group:
Low Income - La Familia
Facility:
La Familia Medical Center
Facility:
Penitentiary of New Mexico
Page 112 of 191 Pages
DENTAL CARE: New Mexico
County and County Equivalent Listing
Santa Fe County
Facility:
Sante Fe PHS Indian Hospital
Sierra County (Entire County HPSA)
Socorro County (Entire County HPSA)
Facility:
Alamo Navajo Health Center
Taos County
Service Area:
Penasco/Truchas/Embudo
Service Area:
Questa and Arroyo Hondo
Torrance County (Entire County HPSA)
Union County (Entire County HPSA)
Valencia County
Population Group:
Low Income - Valencia
Page 113 of 191 Pages
DENTAL CARE: New York
County and County Equivalent Listing
Albany County
Facility:
Whitney Young, Jr. Health Center
Bronx County
Population Group:
Medicaid Eligible - Central Bronx
Population Group:
Medicaid Eligible - Southwest Bronx
Population Group:
Medicaid Eligible-Morris Heights/Fordham
Facility:
Bronx Community Health Network
Facility:
Bronx Lebanon Integrated Services System
Facility:
Help/Psi Services Corporation
Facility:
Hunts Point Multi-Service Center, Inc.
Facility:
Morris Heights Health Center, Inc.
Facility:
Union Community Health Center
Facility:
Urban Health Plan, Inc.
Broome County
Population Group:
Low Income - Broome County
Cattaraugus County
Population Group:
Low Income - Cattaraugus County
Facility:
Lionel John/Allegany I.R. Health Center
Facility:
Southern Tier Community Health Center Network D/B/
Cayuga County
Facility:
East Hill Family Medical, Inc.
Chautauqua County
Population Group:
Low Income - Chautauqua County
Facility:
Cattaraugus Indian Reservation Health Center
Facility:
Lakeview Correctional Facility
Facility:
The Chautauqua Center
Chemung County
Facility:
Elmira Correctional Facility
Facility:
Southport Correctional Facility
Clinton County
Facility:
Clinton Correctional Facility
Columbia County (Entire County HPSA)
Cortland County
Facility:
Family Health Network of Central New York
Dutchess County
Population Group:
Facility:
Medicaid Eligible-Greater Poughkeepsie
Fishkill Correctional Facility
Erie County
Service Area:
City of Buffalo
Facility:
Community Health Center of Buffalo
Facility:
Northwest Buffalo Community Health Center
Facility:
Wende Correctional Facility
Page 114 of 191 Pages
DENTAL CARE: New York
County and County Equivalent Listing
Essex County
Facility:
Association Community Action of Northeast Adironda
Facility:
Federal Correctional Institution - Ray Brook
Franklin County
Population Group:
Low Income - Franklin County
Facility:
Bare Hill Correctional Facility
Facility:
Franklin Correctional Facility
Facility:
St. Regis Mohawk Health Services
Facility:
Upstate Correctional Facility
Genesee County
Facility:
Immigration and Customs Enforcement - Buffalo
Jefferson County
Population Group:
Low Income - Jefferson County
Facility:
Cape Vincent Correctional Facility
Facility:
North Country Children's Clinic
Facility:
Watertown Correctional Facility
Kings County
Population Group:
Medicaid Eligible - Bedford Stuyvesant Service are
Population Group:
Medicaid Eligible - Coney Island
Facility:
Bedford Stuyvesant
Facility:
Brooklyn Plaza Medical Center
Facility:
Brownsville Community
Facility:
Ezra Medical Center
Facility:
Housing Works, Inc.
Facility:
Icl Healthcare Choices, Inc.
Facility:
Metropolitan Detention Center - Brooklyn
Facility:
ODA Primary Care Health
Facility:
Sunset Park Family Health
Livingston County
Facility:
Groveland Correctional Facility
Monroe County
Population Group:
Medicaid Eligible - City of Rochester
Facility:
Anthony Jordan Health Center
Facility:
Oak Orchard Community
Facility:
Rochester Primary Care
Facility:
St. Mary's Hospital of the Sisters
Nassau County
Facility:
Nassau Health Care Corporation
New York County
Population Group:
Medicaid Eligible - Central Manhattan
Population Group:
Medicaid Eligible - Central/West Harlem
Population Group:
Medicaid Eligible - East Harlem
Page 115 of 191 Pages
DENTAL CARE: New York
County and County Equivalent Listing
New York County
Population Group:
Medicaid Eligible - Lower Eastside
Population Group:
Medicaid Eligible - Upper West Side
Facility:
Ahrc Health Care, Inc.
Facility:
American Indian Community House
Facility:
Asian and Pacific Islander Coalition on HIV/AIDS (Ap
Facility:
Betances Health Center
Facility:
Boriken Neighborhood
Facility:
Charles B. Wang Community Health Center, Inc.
Facility:
Community Healthcare Network
Facility:
Covenant House
Facility:
Health Care for the Homeless
Facility:
Heritage Health and Housing
Facility:
Institute for Family Health
Facility:
Metropolitan Correctional Center - New York
Facility:
New York Children's Health Project
Facility:
Project Renewal
Facility:
Settlement Health
Facility:
The Floating Hospital
Facility:
Upper Room AIDS Ministry, Inc.
Facility:
William F. Ryan Community Health Center
Oneida County
Facility:
Oneida Correctional Facility
Onondaga County
Facility: Syracuse Community Health Center
Orange County
Facility: Ezras Cholim Health Center, Inc.
Facility: Federal Correctional Institution - Otisville
Facility: Greater Hudson Valley Family Health Center
Facility: Middletown Community Health Center
Orleans County
Facility: Albion Correctional Facilty
Oswego County
Facility: Northern Oswego
Queens County
Facility: J. P. Addabbo Family
Facility: Project Samaritan Health Services
Richmond County
Population Group:
Medicaid Eligible - St. George
Facility:
Beacon Christian Community Health Center
Facility:
Community Health Center of Richmond
Page 116 of 191 Pages
DENTAL CARE: New York
County and County Equivalent Listing
Rockland County
Facility:
Refuah Health Center
Schenectady County
Population Group:
Facility:
Low Income - Central Schenectady City
Schenectady Family Health Services/Dba Hometown He
Schuyler County
Population Group:
Low Income - Schuyler County
Seneca County
Facility:
Five Points Correctional Facility
St. Lawrence County
Population Group:
Low Income - St. Lawrence County
Facility:
Cerebral Palsy Association of North Country
Facility:
Gouverneur Correctional Facility
Facility:
Riverview Correctional Facility
Steuben County
Population Group:
Low Income - Steuben County
Suffolk County
Facility:
Shinnecock Indian Nation
Tioga County
Population Group:
Low Income - Tioga County
Tompkins County
Population Group:
Medicaid Eligible - Tompkins County
Warren County
Facility:
Hudson Headwaters Health Network
Washington County
Facility:
Great Meadow
Wayne County
Population Group:
Low Income - Eastern Wayne
Westchester County
Facility:
Bedford Hills Correctional Facility
Facility:
Hudson River Healthcare
Facility:
Mt. Vernon Neighborhood Health Center
Facility:
Open Door Family Medical Center
Facility:
Sing Sing Correctional Facility
Wyoming County
Facility:
Attica Maximum Security Prison
Facility:
Wyoming Correctional Facility
Yates County
Facility:
Finger Lakes Migrant Health Proj.
Page 117 of 191 Pages
DENTAL CARE: North Carolina
County and County Equivalent Listing
Alamance County
Population Group:
Low Income - Alamance County
Alleghany County
Population Group:
Low Income - Alleghany County
Anson County
Population Group:
Low Income - Anson County
Facility:
Anson Regional
Facility:
Brown Creek Correctional Institution
Facility:
Lanesboro Correctional Institution
Ashe County
Population Group:
Low Income - Ashe
Avery County
Population Group:
Low Income - Avery County
Beaufort County
Population Group:
Facility:
Low Income - Beaufort County
Metropolitan Community Health
Bertie County
Population Group:
Facility:
Low Income - Bertie
Bertie County Rural Health Association
Bladen County
Population Group:
Low Income - Bladen
Brunswick County
Population Group:
Low Income - Brunswick County
Buncombe County
Facility:
Western North Carolina Community Health
Burke County
Population Group:
Low Income - Burke County
Cabarrus County
Population Group:
Low Income - North Central Cabarrus
Facility:
Cabarrus Community Health Center
Facility:
Cabarrus Health Alliance Dental Clinic
Caldwell County
Facility:
Collettsville Medical Center
Facility:
West Caldwell Health Council, Inc.
Caswell County
Population Group:
Facility:
Low Income - Caswell County
Caswell Family Medical Center
Chatham County
Population Group:
Low Income - Chatham County
Cherokee County
Population Group:
Low Income - Cherokee County
Page 118 of 191 Pages
DENTAL CARE: North Carolina
County and County Equivalent Listing
Clay County
Population Group:
Low Income - Clay
Cleveland County
Population Group:
Low Income - Cleveland
Columbus County
Population Group:
Low Income - Columbus County
Facility:
Chadbourn Family Practice
Facility:
Columbus County Community Health Center
Craven County
Population Group:
Low Income - Craven
Cumberland County
Population Group:
Low Income - Cumberland County
Duplin County
Population Group:
Low Income - Duplin County
Durham County
Population Group:
Facility:
Low Income - Durham County
Lincolm Community Health Center
Edgecombe County
Population Group:
Low Income - Edgecombe County
Facility:
Opportunities Industrialization Center Inc.
Facility:
Rocky Mount OIC Family Medical Center
Forsyth County
Facility:
Southside United Health Center
Franklin County
Population Group:
Low Income - Franklin County
Gaston County
Facility:
Gaston Family Health Services, Inc.
Graham County
Population Group:
Low Income - Graham
Granville County
Facility:
Federal Correctional Complex - Butner
Facility:
Granville Internal Medical and Geriatrics
Greene County
Population Group:
Low Income - Greene County
Facility:
Eastern Correctional Institution (Eci) Maury
Facility:
Greene County Health Care, Inc.
Guilford County
Population Group:
Facility:
Low Income - Guilford County
Triad Adult and Pediatric Medicine
Halifax County
Population Group:
Low Income - Halifax
Page 119 of 191 Pages
DENTAL CARE: North Carolina
County and County Equivalent Listing
Harnett County
Population Group:
Facility:
Low Income - Harnett County
First Choice Community Health Centers
Haywood County
Population Group:
Low Income - Haywood County
Henderson County
Population Group:
Facility:
Low Income/Migrant Farmworker - Henderson County
Blue Ridge Community Health Services
Hertford County
Population Group:
Facility:
Low Income - Hertford County
Roanoke-Chowan Community Health Center
Hoke County
Population Group:
Low Income - Hoke County
Iredell County
Facility:
Harmony Medical Care PA
Jackson County
Population Group:
Low Income - Jackson County
Johnston County
Facility:
Benson Area Medical Center
Jones County
Population Group:
Low Income - Jones
Lee County
Population Group:
Low Income - Lee County
Lenoir County
Population Group:
Facility:
Low Income - Lenoir
Kinston Community Health Center
Macon County
Population Group:
Low Income - Macon
Madison County
Population Group:
Facility:
Low Income - Madison County
Hot Springs Health Program
Martin County
Population Group:
Low Income - Martin County
Mecklenburg County
Population Group:
Facility:
Low Income - Central Charlotte
C.W. Williams Community Health Center
Mitchell County
Population Group:
Facility:
Low Income - Mitchell County
Bakersville Community Medical Clinic
Montgomery County
Population Group:
Low Income - Montgomery County
Page 120 of 191 Pages
DENTAL CARE: North Carolina
County and County Equivalent Listing
Nash County
Population Group:
Low Income - Nash County
New Hanover County
Population Group:
Facility:
Low Income - New Hanover County
New Hanover
Northampton County
Population Group:
Facility:
Low Income - Northampton
Rural Health Group, Inc.
Onslow County
Population Group:
Low Income - Onslow County
Orange County
Facility:
Piedmont Health Services
Pamlico County
Population Group:
Low Income - Pamlico
Pasquotank County
Population Group:
Low Income - Pasquotank
Pender County
Population Group:
Low Income - Pender County
Facility:
Black River Family Practice-Burgaw
Facility:
Black River Health Center-Atkinson
Facility:
Maple Hill Medical Center
Person County
Facility:
Person Family Medical Center
Facility:
Stedman-Wade Health Services
Pitt County
Population Group:
Low Income - Pitt County
Polk County
Facility:
Collins Dental Center
Randolph County
Population Group:
Facility:
Low Income - Randolph County
Merce Medical Resource Center
Richmond County
Population Group:
Low Income - Richmond County
Robeson County
Population Group:
Low Income - Robeson County
Facility:
Dr. Arthur Jr. Robinson Medical Clinic
Facility:
Fairmont Medical Clinic
Facility:
Johnson Medical Clinic
Facility:
Maxton Family Practice Center
Facility:
Riverquest Medical Care
Facility:
Robeson Healthcare Corporation
Facility:
Rowland Medical Clinic
Page 121 of 191 Pages
DENTAL CARE: North Carolina
County and County Equivalent Listing
Rockingham County
Facility:
RMSA Health Center, Inc.
Rowan County
Population Group:
Low Income - Rowan County
Rutherford County
Population Group:
Facility:
Low Income - Rutherford County
Community Clinic of Rutherford County
Sampson County
Population Group:
Low Income - Sampson
Facility:
Goshen Medical Center
Facility:
Tri-County Community
Scotland County
Facility:
Laurel Hill Medical Clinic
Stanly County
Population Group:
Low Income - Stanly County
Surry County
Population Group:
Low Income - Surry County
Swain County
Population Group:
Low Income - Swain County
Facility:
Analenisigi Center
Facility:
PHS Indian Hospital-Cherokee
Tyrrell County
Population Group:
Low Income - Tyrrell County
Wake County
Facility:
North Carolina Department of Health and Human Services
Facility:
Wake Health Services, Inc.
Warren County (Entire County HPSA)
Washington County
Population Group:
Low Income - Washington County
Watauga County
Population Group:
Facility:
Low Income - Watauga
High Country Community Health
Wayne County
Population Group:
Low Income - Wayne County
Wilkes County
Population Group:
Low Income - Wilkes
Wilson County
Population Group:
Facility:
Low Income - Wilson County
Carolina Family Health Center
Yadkin County
Population Group:
Low Income - Yadkin County
Page 122 of 191 Pages
DENTAL CARE: North Carolina
County and County Equivalent Listing
Yancey County
Population Group:
Low Income - Yancey County
Page 123 of 191 Pages
DENTAL CARE: North Dakota
County and County Equivalent Listing
Benson County (Entire County HPSA)
Facility:
Fort Totten PHS Indian Health Center
Billings County (Entire County HPSA)
Bowman County
Facility:
Southwest Medical Clinic
Burleigh County
Facility:
North Dakota State Penitentiary
Cass County
Facility:
Family Healthcare Center
Dunn County (Entire County HPSA)
Golden Valley County (Entire County HPSA)
Grand Forks County
Service Area:
Facility:
Larimore Service Area
Valley Community Health Center
Grant County
Population Group:
Low Income - Grant/Hettinger
Griggs County
Service Area:
Griggs/Steele
Hettinger County
Population Group:
Low Income - Grant/Hettinger
Kidder County (Entire County HPSA)
LaMoure County
Facility:
Rural Health Kulm
Logan County
Facility:
Rural Health Gackle
Facility:
Rural Health Napoleon
McIntosh County
Facility:
Rural Health Wishek
McKenzie County (Entire County HPSA)
McLean County
Service Area:
Facility:
McLean-Oliver
Northland Health Partners Community Health Center
Mercer County
Facility:
Coal County Community Health Center
Facility:
Sakakawea Beulah Clinic
Facility:
Sakakawea Hazen Clinic
Mountrail County (Entire County HPSA)
Facility:
Fort Berthold PHS Indian Health Center
Nelson County (Entire County HPSA)
Oliver County
Service Area:
McLean-Oliver
Page 124 of 191 Pages
DENTAL CARE: North Dakota
County and County Equivalent Listing
Pierce County
Population Group:
Low Income - Pierce County
Rolette County (Entire County HPSA)
Facility:
Belcourt PHS Indian Hospital
Sioux County (Entire County HPSA)
Facility:
Fort Yates PHS Indian Hospital
Slope County (Entire County HPSA)
Steele County
Service Area:
Griggs/Steele
Stutsman County
Facility:
James River Correctional Center
Towner County (Entire County HPSA)
Page 125 of 191 Pages
DENTAL CARE: Ohio
County and County Equivalent Listing
Adams County
Population Group:
Low Income - Adams
Allen County
Population Group:
Low Income - Allen County
Facility:
Allen Correctional Institution
Facility:
Health Partners of Western Ohio
Ashland County
Population Group:
Low Income - Ashland County
Ashtabula County
Population Group:
Facility:
Low Income - Ashtabula County
Lake Erie Correctional Institution
Athens County
Population Group:
Low Income - Athens County
Belmont County
Facility:
Ohio Hills Health
Brown County
Population Group:
Low Income - Brown County
Butler County
Population Group:
Low Income - East Hamilton
Population Group:
Low Income - West Middletown
Facility:
Butler County Community Health/Dba Primary Health
Clark County
Population Group:
Facility:
Low Income - Springfield City
Rocking Horse Children's Health Center
Clermont County
Facility:
Clermont Pediatric Center
Facility:
Healthsource of Ohio, Inc.
Clinton County
Population Group:
Low Income - Highland/Southeast Clinton
Columbiana County
Population Group:
Low Income - Columbiana County
Facility:
Community Action Agency of Columbiana County
Facility:
Federal Correctional Institution - Elkton
Coshocton County
Population Group:
Low Income - Coshocton/Holmes
Crawford County
Population Group:
Low Income - Crawford County
Cuyahoga County
Service Area:
Collinwood Service Area
Service Area:
Glenville (Area I - Cleveland)
Population Group:
Low Income - Central/Fairfax/Kinsman
Population Group:
Low Income - Downtown North Broadway
Page 126 of 191 Pages
DENTAL CARE: Ohio
County and County Equivalent Listing
Cuyahoga County
Population Group:
Low Income - Hough/Norwood
Population Group:
Low Income - Lee Miles
Population Group:
Low Income - Mt Pleasant/Buckeye-Shaker
Population Group:
Low Income - South Broadway
Population Group:
Low Income-East Cleveland
Population Group:
West Cleveland - Cuyahoga County
Facility:
Care Alliance
Facility:
Neighborhood Health
Facility:
Northeast Ohio Neighborhood Health Service
Facility:
The Free Medical Clinic of Greater Cleveland
Darke County
Facility:
Family Health Services of Darke County
Erie County
Population Group:
Low Income - Sandusky City
Facility:
Erie County Health Department (Echd)
Facility:
Family Health Services of Erie County
Fairfield County
Facility:
Fairfield County Combines General Health Distric
Fayette County
Facility:
Fayette County Memorial Hospital Medical and Surg Association
Facility:
Fayette County Memorial Hospital Medical and Surgica
Franklin County
Population Group:
Low Income - Greater Hilltop Franklin County
Population Group:
Low Income - Northeast Columbus
Facility:
Capital Park Family Health Center
Facility:
Columbus Neighborhood Health Center
Facility:
Lower Lights Christian Health Center
Facility:
Southeast, Inc.
Gallia County
Population Group:
Low Income - Meigs/Gallia
Guernsey County
Population Group:
Low Income-Noble/Guernsey
Hamilton County
Population Group:
Homeless - Cincinnati
Population Group:
Low Income - Avondale
Population Group:
Low Income - Millvale
Population Group:
Low Income - Westwood Service Area
Population Group:
Low Income - Winton Hills
Population Group:
Low Income-North Central Cincinnati
Facility:
Christian Community Health Svs/Dba Crossroad Health
Facility:
Cincinnati Health Network
Page 127 of 191 Pages
DENTAL CARE: Ohio
County and County Equivalent Listing
Hamilton County
Facility:
City of Cincinnati Department of Health
Facility:
Lincoln Heights Health Care Connection
Facility:
Neighborhood Health Care
Facility:
Winton Hills Medical Center
Hardin County
Population Group:
Low Income - Hardin County
Harrison County
Population Group:
Low Income - Harrison County
Henry County
Population Group:
Low Income - Napoleon
Highland County
Population Group:
Facility:
Low Income - Highland/Southeast Clinton
Highland Family Healthcare
Hocking County
Population Group:
Low Income - Hocking
Holmes County
Population Group:
Low Income - Coshocton/Holmes
Jackson County
Population Group:
Low Income - Jackson County
Knox County
Population Group:
Low Income - Mount Vernon East
Lawrence County
Population Group:
Facility:
Low Income-Lawrence County
Ironton-Lawrence County Community Action Organizat
Lorain County
Population Group:
Low Income-East Lorain Service Area
Facility:
Lorain County Health and Dentistry
Facility:
Mercy Allen Rural Health Clinic Lagrange
Facility:
Mercy Allen Rural Health Clinic Wellington
Lucas County
Population Group:
Low Income - Central Toledo/Dorr Street
Facility:
Neighborhood Health Association of Toledo
Facility:
Toledo Correctional Institution
Mahoning County
Population Group:
Facility:
Low Income - Northeast Youngstown
Ohio Northeast Health System, Inc.
Marion County
Population Group:
Facility:
Low Income - Marion Center City
Center Street Community Clinic, Inc.
Meigs County
Population Group:
Low Income - Meigs/Gallia
Page 128 of 191 Pages
DENTAL CARE: Ohio
County and County Equivalent Listing
Monroe County
Population Group:
Low Income - Monroe County
Montgomery County
Population Group:
Low Income - Central Dayton
Population Group:
Low Income - West Dayton
Facility:
Community Health Centers of Greater Dayt
Facility:
Five Rivers Health Centers Family Health Center
Facility:
Good Samaritan Homeless Clinic
Morgan County
Facility:
Muskingum Valley Health Centers
Muskingum County
Population Group:
Low Income - Muskingum/Perry
Noble County
Population Group:
Low Income-Noble/Guernsey
Paulding County
Population Group:
Low Income - Paulding
Perry County
Population Group:
Low Income - Muskingum/Perry
Pickaway County
Population Group:
Low Income - Southeast Pickaway County
Pike County
Population Group:
Facility:
Low Income - Pike County
Community Action of Pike County
Richland County
Population Group:
Facility:
Low Income - Central Mansfield
Third Street Community
Ross County
Population Group:
Low Income - Ross County
Facility:
Family Healthcare
Facility:
Greenfield Medical Services
Facility:
Ross Correctional Institution
Sandusky County
Facility:
Community Health Services
Scioto County
Population Group:
Facility:
Low Income - Scioto County
Community Action Organization of Scioto County Hlt
Seneca County
Population Group:
Low Income - Northwest Seneca County
Stark County
Population Group:
Facility:
Low Income - Stark County
Canton Community Clinic, Inc.
Page 129 of 191 Pages
DENTAL CARE: Ohio
County and County Equivalent Listing
Summit County
Population Group:
Facility:
Low Income - Central Akron
Akron Community Health
Trumbull County
Population Group:
Low Income - Trumbull County
Tuscarawas County
Population Group:
Facility:
Low Income - Tucarawas County
Tuscarawas County Health Department
Van Wert County
Facility:
Community Health Family Care Clinic
Vinton County (Entire County HPSA)
Warren County
Facility:
Lebanon Correctional Institution
Washington County
Population Group:
Low Income - Washington County
Wood County
Facility:
Wood County Combined General Health District
Page 130 of 191 Pages
DENTAL CARE: Oklahoma
County and County Equivalent Listing
Adair County
Facility: Neochc-Westville
Facility: Wilma P. Mankiller Health Center
Alfalfa County
Facility: Great Salt Plains Health Center
Atoka County
Facility: ABC Medical Clinic, Inc.
Blaine County
Facility: Watonga Indian Heath Service Clinic
Bryan County
Facility: Choctaw Nation of Oklahoma-Durant
Facility: Durant Health Center
Caddo County (Entire County HPSA)
Facility:
Anadarko Health Center
Facility:
Anadarko PHS Indian Health Center
Facility:
Carnegie Indian Health Center
Facility:
Northeastern Tribal Health System-Seneca-Cayuga
Canadian County
Facility:
El Reno PHS Indian Health Clinic
Facility:
Federal Correctional Institution - El Reno
Carter County
Facility:
Ardmore Chickasaw Health Clinic
Cherokee County
Facility:
Cherokee Nation of Oklahoma
Facility:
Northeastern Oklahoma Community Health Center
Facility:
W.W. Hastings Indian Hospital
Choctaw County
Facility:
Choctaw Nation Health Clinic-Hugo
Cleveland County
Facility:
Lexington Correctional Center ( Lark
Coal County (Entire County HPSA)
Comanche County
Facility:
Comanche County Hospital Authority
Facility:
Comanche Tribe of Oklahoma
Facility:
Lawton PHS Indian Health Hospital
Craig County
Facility:
Cherokee Nation Vinita Health Clinic
Creek County
Facility:
Sapulpa Health Center
Custer County
Facility:
Clinton PHS Indian Hospital
Page 131 of 191 Pages
DENTAL CARE: Oklahoma
County and County Equivalent Listing
Delaware County
Facility:
Cherokee Nation Sam Hider Health Center
Garvin County
Facility:
So. Central Medical and Resource Center (Scmr)
Harmon County
Facility:
Shortgrass Community Health Center, Inc.
Haskell County
Facility:
Stigler Health and Wellness Center
Hughes County
Facility:
East Central Oklahoma Family Health Center, Inc.
Johnston County
Population Group:
Low Income - Johnston County
Facility:
Family Health Center of Southern Oklahoma
Facility:
Tishomingo Chickasaw Health Center
Kay County
Facility:
Kanza Health Clinic
Facility:
Tonkawa Tribe of Oklahoma
Facility:
White Eagle Indian Health Center
Le Flore County
Population Group:
Low Income - Kiamichi
Facility: Choctaw Nation Health Care Center-Talihina
Facility: Choctaw Nation Indian Health - Poteau
Facility: Diabetes Treatment Center
Lincoln County
Facility: Black Hawk Health Center
Logan County
Facility: Mary Mahoney Health Center @ Langston
Mayes County
Facility: A-Mo Health Center
McClain County
Facility: Chickasaw Nation Health Clinic-Purcell
McCurtain County
Population Group:
Low Income - Kiamichi
Population Group:
Low Income - South Mc Curtain
Facility:
Choctaw Nation Indian Health - Broken Bow
Facility:
Kiamichi Family Medical Center
McIntosh County
Facility:
Eufaula Health Center
Muskogee County
Facility:
Muskogee Indian Health Center
Noble County
Facility:
Otoe-Missouri Tribe
Page 132 of 191 Pages
DENTAL CARE: Oklahoma
County and County Equivalent Listing
Nowata County
Population Group:
Facility:
Low Income - Nowata County
Cherokee Nation Will Rogers Health Center
Okfuskee County
Facility:
Okemah Indian Health Center
Oklahoma County
Facility:
Community Health Centers, Inc.
Facility:
Federal Transfer Center - Oklahoma City
Facility:
Oklahoma City Indian Clinic
Facility:
Oklahoma Community Health Services
Okmulgee County
Facility:
Muscogee (Creek) Nation Div. Of Health
Facility:
Okmulgee Health Center
Osage County
Facility:
Dick Conner Correctional Center
Facility:
Fairfax Medical Facilities, Inc.
Facility:
Osage Nation
Facility:
Pawhuska PHS Indian Health Center
Ottawa County
Facility:
Modoc Tribal Council
Facility:
Northeastern Tribal Health System
Facility:
Northeastern Tribal Health System-Miami
Facility:
Northeastern Tribal Health System-Ottawa
Facility:
Northeastern Tribal Health System-Peoria
Facility:
Northeastern Tribal Health System-Quapaw
Facility:
Wyandotte Nation/Bearskin Health Center
Pawnee County
Facility:
Pawnee Nation of Oklahoma
Facility:
Pawnee PHS Indian Health Center
Payne County
Facility:
Iowa Tribe of Oklahoma
Pittsburg County
Facility:
Caring Hands Healthcare Centers Inc.
Facility:
Choctaw Nation Indian Health - Monroe
Pontotoc County
Facility:
Chickasaw Nation Medical Center
Pottawatomie County
Facility:
Absentee Shawnee Tribal Clinic
Facility:
Citizen Pottawatomie Nation Health Clinic
Facility:
Kickapoo Tribal Health Center
Facility:
Shawnee Health Center
Page 133 of 191 Pages
DENTAL CARE: Oklahoma
County and County Equivalent Listing
Pushmataha County
Population Group:
Facility:
Low Income - Kiamichi
Pushmataha Family Medical Center
Rogers County
Facility:
Claremore Indian Hospital
Seminole County
Facility:
Central Oklahoma Family Medical Center
Facility:
Wewoka PHS Indian Health Center
Sequoyah County
Facility:
Cherokee Nation Redbird Smith Health Center
Tillman County
Population Group:
Low Income - Tillman County
Tulsa County
Facility:
Community Health Connection, Inc.
Facility:
Indian Health Care Resources of Tulsa
Facility:
Morton Comprehensive
Wagoner County
Facility:
Arkansas Verdigris Valley Health Centers , in
Facility:
Muskogee-Creek Nation-Koweta Facility
Washington County
Facility:
Cherokee Nation Bartlesville Health Center
Page 134 of 191 Pages
DENTAL CARE: Oregon
County and County Equivalent Listing
Baker County
Population Group:
Low Income - Baker County
Benton County
Population Group:
Low Income/Migrant Farmworker-Benton
Facility:
Alsea Rural Health Care, Inc.
Facility:
Benton County Health Department
Clackamas County
Population Group:
Facility:
Migrant Seasonal Farmworkers - Clackamas
Clackamas County Community Health Division
Clatsop County
Population Group:
Facility:
Low Income-Clatsop County
Coastal Family Health Center
Coos County
Population Group:
Low Income - Coos County
Facility:
Coos Bay Tribal Clinic
Facility:
Coquille Community Health Center
Facility:
Waterfall Clinic, Inc.
Crook County
Population Group:
Low Income - Crook County
Facility:
Mmore Care Rural Health Clinic
Facility:
Mosaic Medical
Curry County
Population Group:
Low Income - Curry County
Deschutes County
Facility:
Lapine Community Health Center
Douglas County
Population Group:
Low Income/Migrant Farmworker - Douglas County
Facility:
Adapt
Facility:
Cow Creek Tribal Clinic
Facility:
Umpqua Community Health
Gilliam County (Entire County HPSA)
Grant County
Population Group:
Low Income - Grant County
Harney County (Entire County HPSA)
Facility:
Burns-Paiute Health Clinic
Facility:
Wadatika Health Center
Hood River County
Population Group:
Facility:
Low Income/Migrant Farmworker - Hood River County
La Clinica Del Carino
Jackson County
Population Group:
Facility:
Low Income/Migrant Farmworker - Jackson County
Community Health Center, Inc.
Page 135 of 191 Pages
DENTAL CARE: Oregon
County and County Equivalent Listing
Jackson County
Facility:
La Clinica Del Valle
Jefferson County (Entire County HPSA)
Facility:
Warm Springs PHS Indian Health Center
Josephine County
Population Group:
Facility:
Low Income/Migrant Farmworker - Josephine County
Siskiyou Community Health
Klamath County
Population Group:
Low Income/Migrant Farmworker/Homeless - Klamath C
Facility:
Klamath Health Partnership
Facility:
Klamath Tribal Health Center
Lake County
Population Group:
Low Income - Lake County
Lane County
Population Group:
Low Income - Lane County
Facility:
Community Health Centers of Lane County
Facility:
Peacehealth Medical Group-Dexter
Facility:
White Bird Clinic
Lincoln County
Population Group:
Low Income - Lincoln County
Facility:
Bayshore Family Medicine
Facility:
Coastal Health Practitioners
Facility:
Lincoln City Medical Center
Facility:
Lincoln County Health and Human Services
Facility:
Siletz Community Health Clinic
Linn County
Population Group:
Low Income/Migrant Farmworker/Homeless - Linn County
Malheur County
Population Group:
Facility:
Low Income/Migrant Farmworker - Malheur County
Snake River Correctional Institution
Marion County
Population Group:
Low Income/Migrant Farmworker/Homeless - Marion/Polk
Facility:
Chemawa Indian Health Center
Facility:
Northwest Human Services
Morrow County
Population Group:
Low Income/Migrant Farmworker - Morrow County
Facility:
Columbia River Community
Facility:
Pioneer Memorial Clinic
Multnomah County
Population Group:
Low Income - Inner Northeast Multnomah
Population Group:
Low Income - Mid-Multnomah
Population Group:
Low Income/Homeless - South East Multnomah
Page 136 of 191 Pages
DENTAL CARE: Oregon
County and County Equivalent Listing
Multnomah County
Facility:
Central City Concerns
Facility:
Multnomah County Health Department
Facility:
Native American Rehabilitation Association
Facility:
Neighborhood Health Center
Facility:
Ohsu-Richmond Clinic
Facility:
Oregon Health and Science University Richmond Community Health Center
Facility:
Outside In
Facility:
Portland Area Office
Facility:
The Wallace Medical Concern
Polk County
Population Group:
Facility:
Low Income/Migrant Farmworker/Homeless - Marion/Polk
Grand Ronde Health Center
Sherman County (Entire County HPSA)
Tillamook County
Population Group:
Low Income - Tillamook County
Facility:
Bayshore Family Medicine-Pacific City
Facility:
The Rinehart Clinic
Facility:
Tillamook County Health
Umatilla County
Population Group:
Facility:
Low Income/Migrant Farmworker - Umatilla County
Confederated Umatilla Tribes Yellowhawk Clinic
Union County
Population Group:
Low Income - Union County
Wallowa County
Population Group:
Low Income - Wallowa County
Wasco County
Population Group:
Low Income/Migrant Farmworker - Wasco County
Washington County
Population Group:
Facility:
Low Income/Migrant Farmworker - Western Washington
Virginia Garcia Memorial Health Center
Wheeler County (Entire County HPSA)
Facility:
Asher Clinic
Yamhill County
Population Group:
Facility:
Low Income/Migrant Farmworker - Yamhill
Federal Correctional Institution - Sheridan
Page 137 of 191 Pages
DENTAL CARE: Pennsylvania
County and County Equivalent Listing
Adams County
Population Group:
Low Income-Gettysburg
Allegheny County
Service Area:
Homewood-Brushton
Service Area:
North Braddock
Service Area:
South Braddock
Population Group:
Low Income - Hill District
Facility:
East Liberty Family Health Care Center
Facility:
For Sto Rox
Facility:
Metro Family Practice, Inc.
Facility:
North Side Christian Health Center
Facility:
Primary Care Health Services
Facility:
Squirrel Hill Health Center
Facility:
University of Pittsburgh - Matilda Theiss Health C
Armstrong County
Population Group:
Low Income - Armstrong County
Facility:
Armstrong Primary Care Center-Leechburg
Facility:
Armstrong Primary Care Center-Rural Valley
Beaver County
Facility:
Urban Health Initiatives, Inc.
Bedford County
Population Group:
Facility:
Low Income - Bedford County
Hyndman Area Health Center, Inc.
Berks County
Facility:
Berks Community Health Center
Blair County
Population Group:
Low Income - Blair County
Bradford County
Population Group:
Low Income - Bradford County
Cambria County
Population Group:
Low Income - Cambria County
Facility:
Federal Correctional Institution - Loretto
Facility:
Glendale Area Medical Center
Facility:
Portage Health Center
Facility:
State Correctional Institution - Cresson
Cameron County
Population Group:
Facility:
Low Income - Cameron County
Keystone Rural Health Consortia, Inc.
Carbon County
Population Group:
Facility:
Low Income - Carbon County
St. Luke's Miners Health Center
Page 138 of 191 Pages
DENTAL CARE: Pennsylvania
County and County Equivalent Listing
Centre County
Population Group:
Facility:
Low Income - Centre County
State Correctional Institution - Rockview
Chester County
Facility:
La Communidad Hispana Inc.
Clarion County
Population Group:
Low Income - Clarion County
Clearfield County
Population Group:
Facility:
Low Income - Clearfield County
State Correctional Institution - Houtzdale
Clinton County
Population Group:
Low Income-Clinton County
Columbia County
Population Group:
Low Income - Columbia County
Crawford County
Population Group:
Low Income - Crawford County
Facility:
Cambridge Springs Health Center
Facility:
Conneaut Lake Health Center
Facility:
Conneaut Valley Health Center
Facility:
John E. Balmer Do, Spartansburg Medical Center
Facility:
John E. Balmer Do/Canadohta Health Clinic
Facility:
Meadville Community Health Center
Cumberland County
Facility:
Sadler Health Care Corporation
Facility:
State Correctional Institution - Camp Hill
Dauphin County
Facility:
Hamilton Health Center
Delaware County
Population Group:
Low Income - City of Chester
Facility:
Chespenn Health Service
Facility:
State Correctional Institution Chester
Elk County
Population Group:
Low Income - Elk County
Erie County
Population Group:
Low Income - Erie County
Facility:
Community Health Net
Facility:
State Correctional Institution - Albion
Fayette County
Population Group:
Facility:
Low Income - Fayette County
Community Medical Services
Forest County
Population Group:
Low Income - Forest County
Page 139 of 191 Pages
DENTAL CARE: Pennsylvania
County and County Equivalent Listing
Forest County
Facility:
State Correctional Institution - Forest
Franklin County
Population Group:
Facility:
Low Income - Dry Run
Keystone Rural Health Center
Fulton County
Population Group:
Low Income - Fulton County
Greene County
Population Group:
Low Income - Greene County
Facility:
Cornerstone Care, Inc.
Facility:
State Correctional Institution Greene
Huntingdon County
Population Group:
Low Income - Huntingdon County
Facility:
Broadtop Area Medical Center
Facility:
Mount Union Area Medical Center
Facility:
Southern Huntingdon County Medical Center
Facility:
State Correctional Institution - Huntingdon
Facility:
State Correctional Institution - Smithfield
Indiana County
Population Group:
Low Income - Indiana County
Jefferson County
Population Group:
Low Income - Jefferson County
Facility:
Allegheny Health Center
Facility:
Phillips States MD Family Practice
Juniata County
Population Group:
Low Income - Mifflin/Juniata Counties
Lackawanna County
Population Group:
Facility:
Low Income - Lackawanna County
Scranton Primary Health Care Center
Lancaster County
Population Group:
Low Income - Lancaster City
Facility:
Southeast Lancaster Health Services
Facility:
Welsh Mountain Medical and Dental Center
Lawrence County
Population Group:
Low Income - Lawrence County
Lebanon County
Population Group:
Low Income - Lebanon City
Lehigh County
Population Group:
Facility:
Low Income - Allentown City
Neighborhood Health Centers (Nhclv) of Lehigh Vall
Luzerne County
Population Group:
Low Income - Luzerne County
Page 140 of 191 Pages
DENTAL CARE: Pennsylvania
County and County Equivalent Listing
Luzerne County
Facility:
Rural Health Corporation of Northeast Pennsylvania
Facility:
State Correctional Institution Dallas
Lycoming County
Population Group:
Low Income - Lycoming County
Facility:
State Correctional Institution - Muncy
Facility:
Susquehanna Community Health and Dental Clinic
McKean County
Population Group:
Facility:
Low Income - McKean County
Federal Correctional Institution - McKean
Mercer County
Population Group:
Low Income Mercer County
Facility:
Mercer Family Medicine Center
Facility:
Primary Health Network, Inc.
Facility:
Sharon Community Health Center
Mifflin County
Population Group:
Low Income - Mifflin/Juniata Counties
Montgomery County
Facility:
Community Health and Dental Care
Facility:
State Correctional Institution - Graterford
Montour County
Population Group:
Low Income - Northumberland/Montour
Northampton County
Population Group:
Low Income Bethlehem
Population Group:
Low Income Easton
Northumberland County
Population Group:
Low Income - Northumberland/Montour
Facility:
Miller Family Health Center
Facility:
State Correctional Institution - Coal Township
Perry County
Population Group:
Low Income - Western Perry
Philadelphia County
Population Group:
Low Income - Philadelphia D1
Population Group:
Low Income - Philadelphia D2
Population Group:
Low Income - Philadelphia D4
Population Group:
Low Income - Philadelphia D-5
Facility:
Covenant House Health Services
Facility:
Delaware Valley Community Health, Inc.
Facility:
Department of Public Health-City of Philadelphia
Facility:
Esperanza Health Center
Facility:
Federal Detention Center - Philadelphia
Facility:
Greater Philadelphia Health Action
Page 141 of 191 Pages
DENTAL CARE: Pennsylvania
County and County Equivalent Listing
Philadelphia County
Facility:
Philadelphia Health Management Corporation
Facility:
Quality Community Health
Facility:
Resources for Human Development
Facility:
Sayre Health Center
Facility:
Spectrum Health Services, Inc.
Pike County
Facility:
Pinnacle Health Partners-Tafton
Potter County
Population Group:
Low Income - Potter County
Schuylkill County
Population Group:
Low Income - Schuylkill County
Facility:
Federal Correctional Institution - Schuylkill
Facility:
State Correctional Institution - Mahanoy
Snyder County
Population Group:
Low Income - Snyder County
Somerset County
Population Group:
Low Income - Somerset County
Facility:
Highlands Family Medicine
Facility:
State Correctional Institution - Somerset
Sullivan County
Population Group:
Low Income Sullivan
Susquehanna County
Population Group:
Facility:
Low Income-Susquehanna County
Barnes-Kasson Health Center, Inc.
Tioga County
Population Group:
Facility:
Low Income - Tioga County
North Pennsylvania Comprehensive
Union County
Population Group:
Low Income - Mifflinburg
Facility:
Federal Correctional Institution - Allenwood
Facility:
United States Penitentiary - Lewisburg
Venango County
Population Group:
Low Income - Venango County
Warren County
Population Group:
Low Income - Warren County
Washington County
Facility:
Centerville Clinics
Facility:
Wpso/McDonald Family Medicine
Wayne County
Population Group:
Facility:
Low Income - Wayne
Highland Physicians, Ltd.
Page 142 of 191 Pages
DENTAL CARE: Pennsylvania
County and County Equivalent Listing
Wayne County
Facility:
United States Penitentiary - Canaan
Facility:
Wayne Memorial Community Health Center
Westmoreland County
Facility:
Community Health Clinic
Facility:
Mon Valley Community Health Services, Inc.
Facility:
State Correctional Institution - Greensburg
Wyoming County
Population Group:
Low Income Wyoming County
York County
Service Area:
Facility:
York City
Family First Health
Page 143 of 191 Pages
DENTAL CARE: Rhode Island
County and County Equivalent Listing
Newport County
Population Group:
Facility:
Low Income - Newport/Middletown
East Bay Community Action Program
Providence County
Population Group:
Low Income - Central Falls/Pawtucket
Population Group:
Low Income - Northwest Woonsocket
Population Group:
Low Income - Providence City
Facility:
Blackstone Valley Community
Facility:
Chad Brown Health Center
Facility:
Comprehensive Community Action, Inc.
Facility:
Northwest Community Health Center
Facility:
Providence Community Health Center
Facility:
Thundermist Healthcare
Facility:
Tri-Town Community Action Program
Washington County
Facility:
Bayside Family Healthcare, Inc.
Facility:
Narragansett Indian Tribe Health Pgm
Facility:
Wood River Health Services
Page 144 of 191 Pages
DENTAL CARE: South Carolina
County and County Equivalent Listing
Abbeville County
Population Group:
Low Income - Abbeville/Greenwood/McCormick
Aiken County
Population Group:
Facility:
Low Income - Aiken
Margaret J. Weston Health Center
Allendale County
Service Area:
Allendale/Hampton
Facility:
Allendale Correctional Institution
Facility:
Low Country Health
Anderson County
Population Group:
Low Income - Anderson
Bamberg County
Service Area:
Bamberg/Calhoun/Orangeburg
Barnwell County (Entire County HPSA)
Beaufort County
Population Group:
Low Income - Beaufort Service Area
Berkeley County
Population Group:
Low Income - Charleston/Dorchester/Berkeley
Calhoun County
Service Area:
Bamberg/Calhoun/Orangeburg
Charleston County
Population Group:
Low Income - Charleston/Dorchester/Berkeley
Facility:
Franklin C. Fetter Family Health Center
Facility:
St. James-Santee Family Health Center
Cherokee County (Entire County HPSA)
Chester County
Population Group:
Low Income - Chester
Chesterfield County (Entire County HPSA)
Facility:
Sandhills Medical Foundation
Clarendon County (Entire County HPSA)
Facility:
Turbeville Correctional Institution
Colleton County (Entire County HPSA)
Darlington County (Entire County HPSA)
Facility:
Caresouth
Dillon County
Service Area:
Dillon/Marion Counties
Dorchester County
Population Group:
Low Income - Charleston/Dorchester/Berkeley
Edgefield County (Entire County HPSA)
Facility:
Federal Correctional Institution - Edgefield
Facility:
Trenton Correctional Institution
Fairfield County (Entire County HPSA)
Page 145 of 191 Pages
DENTAL CARE: South Carolina
County and County Equivalent Listing
Florence County
Population Group:
Facility:
Low Income - Florence County
Hopehealth, Inc.
Georgetown County
Population Group:
Low Income - Georgetown County
Greenville County
Facility:
New Horizon Family Health
Greenwood County
Population Group:
Low Income - Abbeville/Greenwood/McCormick
Facility:
Carolina Health Centers, Inc.
Facility:
Leath Correctional Institution
Hampton County
Service Area:
Allendale/Hampton
Facility:
Dba Harrison Peeples Health Care Center, Inc.
Facility:
Federal Correctional Institution - Estill
Horry County
Population Group:
Low Income - Horry County
Facility:
Healthcare Partners
Facility:
Little River Medical Center
Jasper County (Entire County HPSA)
Facility:
Beaufort Jasper Comprehensive
Kershaw County
Population Group:
Low Income - Kershaw County
Lancaster County
Population Group:
Low Income - Lancaster
Facility:
Carenet of Lancaster
Facility:
Kershaw Correctional Institution
Laurens County
Population Group:
Low Income - Laurens County
Lee County (Entire County HPSA)
Facility:
Lee Correctional Institution
Lexington County
Population Group:
Low Income - Pelion/Swansea
Marion County
Service Area:
Facility:
Dillon/Marion Counties
Fowler Rural Medical
Marlboro County (Entire County HPSA)
Facility:
Evans Correctional Institution
Facility:
Federal Correctional Institution - Bennettsville
McCormick County
Population Group:
Facility:
Low Income - Abbeville/Greenwood/McCormick
McCormick Correctional Facility
Page 146 of 191 Pages
DENTAL CARE: South Carolina
County and County Equivalent Listing
Newberry County
Population Group:
Low Income - Newberry County
Oconee County
Population Group:
Low Income - Oconee
Orangeburg County
Service Area:
Facility:
Bamberg/Calhoun/Orangeburg
Family Health Centers
Pickens County
Population Group:
Facility:
Low Income - Pickens County
Foothills Community Health Care
Richland County
Population Group:
Low Income - Richland County
Facility:
Broad River Correctional Institution
Facility:
Common Ground Health Clinic
Facility:
Eau Claire Cooperative
Facility:
Genesis Health Care, Inc.
Facility:
Kirkland Reception and Evaluation Center
Facility:
South Carolina Migrant Health Program
Saluda County (Entire County HPSA)
Spartanburg County
Population Group:
Low Income - Spartanburg
Facility:
Regenesis Community Health Center
Facility:
Tyger River Correctional Institution
Sumter County
Population Group:
Low Income - Sumter
Facility:
Sumter Family Health Center
Facility:
Wateree Correctional Institution
Union County
Population Group:
Low Income - Union
Williamsburg County (Entire County HPSA)
Facility:
Federal Correctional Institution - Williamsburg
York County
Population Group:
Low Income - Southwest York
Facility:
Catawba Indian Nation
Facility:
Community Medicine Foundation
Page 147 of 191 Pages
DENTAL CARE: South Dakota
County and County Equivalent Listing
Aurora County
Service Area:
Wessington Springs Service Area
Bennett County (Entire County HPSA)
Buffalo County
Facility:
Crow Creek Sioux Tribe
Facility:
Fort Thompson PHS Indian Hospital
Charles Mix County
Facility:
Wagner PHS Indian Hospital
Facility:
Yankton Sioux Tribe
Corson County (Entire County HPSA)
Facility:
McLaughlin Health Center
Facility:
McLaughlin PHS Indian Hospital
Facility:
McLaughlin PHS Indian Medical/Dental Clinic
Custer County (Entire County HPSA)
Day County (Entire County HPSA)
Dewey County (Entire County HPSA)
Facility:
Eagle Butte PHS Indian Hospital
Facility:
Isabel Community Clinic
Facility:
West Dakota Health Center
Fall River County
Population Group:
Low Income - Fall River County
Gregory County
Population Group:
Low Income - Gregory County
Haakon County
Facility:
Philip Clinic
Harding County (Entire County HPSA)
Hughes County
Facility:
Rural Health Care
Jackson County (Entire County HPSA)
Facility:
Wanblee PHS Indian Health Center
Jerauld County
Service Area:
Wessington Springs Service Area
Jones County (Entire County HPSA)
Kingsbury County
Service Area:
De Smet Service Area
Lake County
Service Area:
De Smet Service Area
Lyman County (Entire County HPSA)
Facility:
Lower Brule Sioux Tribe
Marshall County
Population Group:
Low Income - Marshall
Page 148 of 191 Pages
DENTAL CARE: South Dakota
County and County Equivalent Listing
McCook County
Population Group:
Low Income - McCook County
Meade County
Service Area:
Faith
Mellette County (Entire County HPSA)
Miner County
Service Area:
Facility:
De Smet Service Area
Horizon Healthcare
Minnehaha County
Population Group:
Low Income - Central Sioux Falls
Facility:
City of Sioux Falls Health
Facility:
South Dakota Urban Indian Health, Inc.
Moody County
Facility:
Flandreau Santee Sioux Tribe
Pennington County
Facility:
Community Health Center of Black Hill
Facility:
Rapid City PHS Indian Health Hospital
Perkins County (Entire County HPSA)
Roberts County (Entire County HPSA)
Facility:
Sisseton PHS Indian Hospital
Facility:
Sisseton-Wahpeton Oyate Tribe
Sanborn County
Service Area:
De Smet Service Area
Service Area:
Wessington Springs Service Area
Shannon County (Entire County HPSA)
Facility:
Kyle PHS Health Center
Facility:
Oglala Sioux Tribe
Facility:
Pine Ridge PHS Indian Hospital
Todd County (Entire County HPSA)
Facility:
Rosebud PHS Indian Hospital
Facility:
Rosebud Sioux Tribe
Tripp County (Entire County HPSA)
Turner County
Facility:
Parker Medical Clinic
Union County
Facility:
Union County Health
Ziebach County (Entire County HPSA)
Facility:
Cheyenne River Sioux Tribe
Page 149 of 191 Pages
DENTAL CARE: Tennessee
County and County Equivalent Listing
Anderson County
Population Group:
Low Income - Anderson
Bedford County
Population Group:
Low Income - Bedford County
Facility:
Bedford Urgent Care
Facility:
Lynette M. Adams, M.D.
Facility:
Unionville Family Practice
Benton County
Population Group:
Low Income - Benton County
Bledsoe County
Population Group:
Low Income - Bledsoe
Bradley County
Population Group:
Low Income - Bradley County
Campbell County
Population Group:
Low Income - Campbell County
Facility:
Charles H. Wilkens, MD, P.C.
Facility:
Community Health of East Tennessee
Facility:
Dayspring Family Health
Facility:
Wynn Habersham Community Clinic
Cannon County
Population Group:
Low Income - Cannon
Carroll County
Population Group:
Low Income - Carroll County
Carter County
Population Group:
Low Income - Carter County
Chester County
Population Group:
Facility:
Low Income - Chester County
The Rickard Clinic
Claiborne County
Population Group:
Low Income - Claiborne County
Clay County
Population Group:
Low Income - Clay County
Cocke County
Population Group:
Facility:
Low Income - Cocke County
Rural Medical Services
Coffee County
Population Group:
Low Income - Coffee County
Crockett County
Population Group:
Low Income - Crockett County
Cumberland County
Population Group:
Low Income - Cumberland County
Page 150 of 191 Pages
DENTAL CARE: Tennessee
County and County Equivalent Listing
Davidson County
Service Area:
Bordeaux/Inglewood
Service Area:
South Nashville/Vine Hill
Facility:
Dba Vine Hill/University Community Health Services
Facility:
Interfaith Dental Clinic of Nashville
Facility:
Matthew Walker Community Health Center
Facility:
Tennessee Department of Health - Stewart County
Facility:
United Neighborhood Health
Decatur County
Population Group:
Facility:
Low Income - Decatur County
Jennings Family Medical Clinic
DeKalb County
Population Group:
Low Income - Dekalb County
Dickson County
Population Group:
Low Income - Dickson
Dyer County
Population Group:
Facility:
Low Income - Dyer County
Dyersburg Family Walk-in Clinic
Fayette County
Population Group:
Low Income - Fayette County
Fentress County
Population Group:
Low Income - Fentress County
Franklin County
Population Group:
Low Income - Franklin County
Gibson County
Population Group:
Low Income - Gibson County
Giles County
Population Group:
Low Income - Giles County
Grainger County
Population Group:
Low Income - Grainger
Greene County
Population Group:
Low Income - Greene County
Grundy County (Entire County HPSA)
Hamblen County
Population Group:
Facility:
Low Income - Hamblen County
Cherokee Health Systems
Hamilton County
Population Group:
Low Income - Chattanooga/East Ridge
Population Group:
Low Income - North Chattanooga
Facility:
Chattanooga/Hamilton County Health Department
Facility:
Erlanger Health System
Hancock County (Entire County HPSA)
Page 151 of 191 Pages
DENTAL CARE: Tennessee
County and County Equivalent Listing
Hardeman County
Population Group:
Facility:
Low Income - Hardeman County
Hardeman County Community Health Center
Hardin County
Population Group:
Facility:
Low Income - Hardin County
Hardin County Regional Health Center, Inc.
Hawkins County
Population Group:
Facility:
Low Income - Hawkins County
Rural Health Services Consortium
Haywood County
Population Group:
Low Income - Haywood County
Henderson County
Population Group:
Low Income - Henderson County
Henry County
Population Group:
Low Income - Henry County
Hickman County
Population Group:
Low Income - Hickman County
Houston County
Population Group:
Low Income - Houston County
Humphreys County
Population Group:
Low Income - Humphreys County
Jackson County
Population Group:
Low Income - Jackson County
Jefferson County
Population Group:
Low Income - Jefferson County
Johnson County
Population Group:
Low Income - Johnson
Knox County
Population Group:
Low Income - Knoxville
Lake County (Entire County HPSA)
Facility:
Lake County Community Health Center
Facility:
Rural Health Cllinics of West Tennessee, LLC
Lauderdale County
Population Group:
Low Income - Lauderdale County
Facility:
Christian Family Medicine, Inc.
Facility:
Rural Health Clinics of West Tennessee-East M
Facility:
Rural Health Clinics of West TN-Anthony Site
Lawrence County
Population Group:
Low Income - Lawrence County
Lewis County
Population Group:
Low Income - Lewis County
Page 152 of 191 Pages
DENTAL CARE: Tennessee
County and County Equivalent Listing
Lincoln County
Population Group:
Low Income - Lincoln County
Macon County
Population Group:
Facility:
Low Income - Macon County
Hope Family Health Services
Madison County
Population Group:
Low Income - Madison County
Marion County
Population Group:
Low Income - Marion County
Marshall County (Entire County HPSA)
Maury County
Population Group:
Low Income - Maury
McMinn County
Population Group:
Low Income - McMinn County
McNairy County
Population Group:
Low Income - McNairy County
Meigs County
Population Group:
Low Income - Meigs County
Monroe County
Population Group:
Low Income - Monroe County
Facility:
Chota Community Health Services
Facility:
Women's Wellness and Maternity Center
Montgomery County
Population Group:
Low Income - Montgomery County
Moore County
Population Group:
Low Income - Moore County
Morgan County
Population Group:
Facility:
Low Income - Morgan
Morgan County Health
Obion County
Population Group:
Low Income - Obion County
Overton County
Population Group:
Low Income - Overton County
Perry County
Population Group:
Facility:
Low Income - Perry County
Perry County Medical
Pickett County
Population Group:
Low Income - Pickett
Polk County
Population Group:
Facility:
Low Income - Polk County
Ocoee Regional Health
Page 153 of 191 Pages
DENTAL CARE: Tennessee
County and County Equivalent Listing
Putnam County
Population Group:
Facility:
Low Income - Putnam County
Upper Cumberland Primary Care Project
Rhea County
Population Group:
Low Income - Rhea County
Roane County
Population Group:
Low Income - Roane County
Rutherford County
Facility:
Rutherford County Primary Care/Dbaprimary Care and H
Scott County
Population Group:
Facility:
Low Income - Scott County
Moutain Peoples Health
Sequatchie County
Population Group: Low Income - Sequatchie
Sevier County
Population Group: Low Income - Sevier
Shelby County
Population Group: Low Income - Millington
Population Group: Low Income - Northwest Memphis/Frayser
Population Group: Low Income - Southwest Memphis/Whitehaven-Levi
Facility:
Christ Community Health Services, Inc.
Facility:
Federal Correctional Institution - Memphis
Facility:
Memphis Health Center, Inc.
Smith County
Population Group:
Low Income - Smith County
Stewart County
Population Group:
Low Income - Stewart County
Sullivan County
Population Group:
Low Income - Sullivan
Tipton County
Facility:
Family First Medical Center
Trousdale County
Population Group:
Low Income - Trousdale County
Unicoi County
Population Group:
Low Income - Unicoi County
Union County
Population Group:
Low Income - Union
Van Buren County
Population Group:
Low Income - Van Buren County
Warren County
Population Group:
Facility:
Low Income - Warren County
Pioneer Pediatrics
Page 154 of 191 Pages
DENTAL CARE: Tennessee
County and County Equivalent Listing
Washington County
Population Group:
Facility:
Low Income - Washington
East Tennessee State University
Wayne County
Population Group:
Low Income - Wayne
Weakley County
Population Group:
Low Income - Weakley County
White County
Population Group:
Low Income - White County
Williamson County
Facility:
Mercy Health Services
Facility:
Prohealth Rural Health Services, Inc.
Page 155 of 191 Pages
DENTAL CARE: Texas
County and County Equivalent Listing
Angelina County (Entire County HPSA)
Aransas County (Entire County HPSA)
Armstrong County (Entire County HPSA)
Atascosa County (Entire County HPSA)
Facility:
Atascosa Healthcare
Bastrop County (Entire County HPSA)
Facility:
Federal Correctional Institution - Bastrop
Bee County (Entire County HPSA)
Facility:
La Bahia Clinic
Bexar County
Service Area:
West Side San Antonio
Facility:
Barrio Comprehensive Health Center
Facility:
El Centro Del Barrio
Borden County (Entire County HPSA)
Bowie County
Facility:
Federal Correctional Institution - Texarkana
Brazoria County
Facility:
Stephen F. Austin Community Health Center,
Brazos County
Facility:
Brazos Valley Community Action
Briscoe County (Entire County HPSA)
Brooks County (Entire County HPSA)
Brown County (Entire County HPSA)
Burleson County (Entire County HPSA)
Burnet County (Entire County HPSA)
Facility:
Seton Highland Lakes Clinic Marbles Fall
Caldwell County (Entire County HPSA)
Facility:
Children's Care-a-Van
Cameron County
Facility:
Brownsville Community Health Center
Facility:
Immigration and Customs Enforcement - Port Isabel
Facility:
Su Clinica Familia
Carson County (Entire County HPSA)
Castro County (Entire County HPSA)
Chambers County
Facility:
Chambers County Public Hospital District
Cochran County (Entire County HPSA)
Coke County (Entire County HPSA)
Coleman County (Entire County HPSA)
Colorado County
Facility:
Rice Medical Associates
Page 156 of 191 Pages
DENTAL CARE: Texas
County and County Equivalent Listing
Comanche County (Entire County HPSA)
Facility:
Cross Timbers Healthcare
Concho County
Facility:
Frontera Healthcare Network
Crosby County (Entire County HPSA)
Culberson County (Entire County HPSA)
Dallas County
Service Area:
Lisbon Service Area
Service Area:
South Dallas
Service Area:
South East Dallas
Service Area:
West Dallas/Cliff Hall
Facility:
Dallas County Hosptial District
Facility:
Deharo Saldivar Dental Center
Facility:
East Dallas Dental Center
Facility:
Federal Correctional Institution - Seagoville
Facility:
Los Barrios Unidos Community Health Center
Facility:
Mission East Dallas (Medical) and Metroplex Project
Facility:
MLK Jr. Family Center
Facility:
Parkland Dental Center
Facility:
Urban Inter-Tribal Center of Texas
Dawson County (Entire County HPSA)
Delta County (Entire County HPSA)
Denton County
Facility:
Health Services of North Texas, Inc.
DeWitt County (Entire County HPSA)
Dickens County (Entire County HPSA)
Dimmit County (Entire County HPSA)
Facility:
Women's Clinic of Dimmit and Zavala
Donley County (Entire County HPSA)
Duval County (Entire County HPSA)
Eastland County (Entire County HPSA)
Ector County
Facility:
Ector County Hospital District
Edwards County (Entire County HPSA)
El Paso County
Service Area:
Far Northern El Paso
Service Area:
Southeast El Paso
Facility:
Centro De Salud Familia
Facility:
Centro San Vicente Health Center
Facility:
Federal Correctional Institution - La Tuna
Facility:
Immigration and Customs Enforcement - El Paso
Facility:
Project Vida Health Center
Page 157 of 191 Pages
DENTAL CARE: Texas
County and County Equivalent Listing
Ellis County
Facility:
Ellis County Coalition for Health Option
Fannin County (Entire County HPSA)
Fayette County
Population Group:
Facility:
Low Income - Fayette County
Tejas Health Care (Thc)
Fort Bend County
Facility:
The Access Health Richmond Center
Frio County (Entire County HPSA)
Facility:
Immigration and Customs Enforcement - South Texas/Pearsall
Gaines County (Entire County HPSA)
Galveston County
Facility:
Coastal Health and Wellness
Glasscock County (Entire County HPSA)
Goliad County (Entire County HPSA)
Gonzales County (Entire County HPSA)
Facility:
Community Health Centers of South Central Texas
Gregg County
Facility:
Longview Wellness Center
Facility:
Special Health Resources of Texas
Hale County (Entire County HPSA)
Facility:
Regence Health Network
Hall County (Entire County HPSA)
Hansford County (Entire County HPSA)
Harris County
Service Area:
Acres Home
Service Area:
Aldine
Service Area:
East Central
Service Area:
Settegast Service Area
Service Area:
South Central Service Area
Facility:
Asian Am. Health Coalition of Gtr Houston/Dba Hope C
Facility:
El Centro De Corazon
Facility:
Federal Detention Center - Houston
Facility:
Fourth Ward Clinicdba Good Neighbor Hcc
Facility:
Harris County Hospital District
Facility:
Houston Area Community Services, Inc.
Facility:
Houston Community Health Center
Facility:
Houston Health Care for the Homeless
Facility:
Immigration and Customs Enforcement - Houston
Facility:
Legacy Community Health Systems, Inc.
Facility:
Pasadena Health Center
Facility:
South Central Houston Action Council, Inc.
Page 158 of 191 Pages
DENTAL CARE: Texas
County and County Equivalent Listing
Harris County
Facility:
Spring Branch Community Health Center
Harrison County
Facility:
East Texas Border Health Clinics
Hartley County
Facility:
Dalhart Family Medicine Clinic
Haskell County (Entire County HPSA)
Hidalgo County
Facility:
Nuestra Clinica Del Valle
Hockley County (Entire County HPSA)
Facility:
South Plains Rural Health
Howard County
Facility:
Federal Correctional Institution - Big Spring
Hudspeth County (Entire County HPSA)
Hunt County
Facility:
Community Health Service Agency, Inc.
Jasper County (Entire County HPSA)
Facility:
Christus Jasper Family Practice Clinic
Jefferson County (Entire County HPSA)
Facility:
Gulf Coast Health Center
Jim Hogg County (Entire County HPSA)
Jim Wells County (Entire County HPSA)
Facility:
Community Action Corporation of South Texas
Jones County (Entire County HPSA)
Facility:
Anson Family Wellness Clinic
Facility:
Kapu Medical Clinic
Karnes County (Entire County HPSA)
Kent County (Entire County HPSA)
King County (Entire County HPSA)
Kinney County (Entire County HPSA)
Knox County (Entire County HPSA)
Facility:
Munday Family Clinic
La Salle County (Entire County HPSA)
Facility:
South Texas Rural Health Services
Lamb County (Entire County HPSA)
Liberty County
Facility:
Health Center of Southeast Texas
Limestone County
Facility:
Family Medicine Center
Facility:
Parkview Rural Health Clinic
Live Oak County
Facility:
Federal Correctional Institution - Three Rivers
Page 159 of 191 Pages
DENTAL CARE: Texas
County and County Equivalent Listing
Loving County (Entire County HPSA)
Lubbock County
Facility:
Community Health Center of Lubbock
Facility:
Dba Larry Combest Community Health and Wellness
Matagorda County (Entire County HPSA)
Facility:
Matagorda Episcopal Health Outreach Prog
Maverick County (Entire County HPSA)
Facility:
United Medical Centers
McLennan County (Entire County HPSA)
Facility:
Heart of Texas Community Health
Medina County (Entire County HPSA)
Midland County
Facility:
Midland Community Healthcare Services, Inc.
Mitchell County (Entire County HPSA)
Montgomery County
Facility:
Lone Star Community Health
Motley County (Entire County HPSA)
Nacogdoches County
Population Group:
Facility:
Low Income - Nacogdoches County
East Texas Community Health Services
Newton County
Population Group:
Low Income - Newton
Nolan County
Facility:
Rolling Plains Rural Health Clinic, LLC
Nueces County
Facility:
Amistad Community Health Center
Oldham County (Entire County HPSA)
Orange County (Entire County HPSA)
Panola County (Entire County HPSA)
Pecos County (Entire County HPSA)
Potter County
Service Area:
Potter/Randall Counties
Presidio County (Entire County HPSA)
Facility:
Presidio County Health Clinic
Randall County
Service Area:
Potter/Randall Counties
Real County (Entire County HPSA)
Reeves County (Entire County HPSA)
Roberts County (Entire County HPSA)
Robertson County (Entire County HPSA)
Runnels County
Facility:
Ballinger Hospital Clinic
Page 160 of 191 Pages
DENTAL CARE: Texas
County and County Equivalent Listing
Rusk County
Facility:
Mt. Enterprise Community Health Center
San Jacinto County (Entire County HPSA)
Schleicher County (Entire County HPSA)
Shackelford County (Entire County HPSA)
Facility:
Shackelford County Community Resource Center
Shelby County (Entire County HPSA)
Facility:
The Hope Project Inc.
Sherman County (Entire County HPSA)
Smith County
Facility:
Community Health Clinics of Northeast TX
Starr County (Entire County HPSA)
Facility:
Family Health Center, LLP
Facility:
Family Medical and Specialty Clinic
Stephens County (Entire County HPSA)
Sterling County (Entire County HPSA)
Stonewall County (Entire County HPSA)
Tarrant County
Facility:
Federal Correctional Institution - Fort Worth
Facility:
Federal Medical Center - Carswell
Facility:
North Texas Area Community Health Center, Inc.
Terrell County (Entire County HPSA)
Facility:
Cactus Health Services, Inc.
Terry County (Entire County HPSA)
Throckmorton County (Entire County HPSA)
Facility:
Throckmorton County Rural Health Care Clinic
Tom Green County
Population Group:
Facility:
Low Income - Tom Green County
La Esperanza Clinic, Inc.
Travis County
Facility:
People's Community Clinic
Facility:
Travis County Healthcare District
Trinity County (Entire County HPSA)
Uvalde County (Entire County HPSA)
Facility:
Community Health Development, Inc.
Val Verde County (Entire County HPSA)
Victoria County (Entire County HPSA)
Ward County (Entire County HPSA)
Webb County (Entire County HPSA)
Facility:
Gateway Community Health Center
Wharton County (Entire County HPSA)
Facility:
Mid Coast Medical Clinic
Page 161 of 191 Pages
DENTAL CARE: Texas
County and County Equivalent Listing
Wichita County (Entire County HPSA)
Facility:
Northcentral Texas Community Health Center
Willacy County (Entire County HPSA)
Facility:
Immigration and Customs Enforcement - Willacy
Williamson County
Facility:
Immigration and Customs Enforcement - Taylor
Facility:
Lone Star Circle of Care
Wise County (Entire County HPSA)
Wood County
Facility:
Etmc First Physician Health Clinic
Yoakum County (Entire County HPSA)
Young County
Facility:
Lovett-Meredith Rural Health Clinic
Zapata County (Entire County HPSA)
Zavala County (Entire County HPSA)
Facility:
Vida Y Salud Health System
Page 162 of 191 Pages
DENTAL CARE: Utah
County and County Equivalent Listing
Beaver County
Population Group:
Low Income - Beaver County
Cache County
Population Group:
Low Income - Cache County
Carbon County
Facility:
Carbon Medical Services
Daggett County (Entire County HPSA)
Davis County
Population Group:
Low Income - North Davis
Population Group:
Low Income - South Davis
Duchesne County
Population Group:
Low Income - Duchesne County
Emery County
Population Group:
Facility:
Low Income - Emery County
Green River Medical
Garfield County
Population Group:
Low Income - Garfield County
Iron County
Population Group:
Low Income - Iron County
Facility:
Cedar City Paiute Medical Clinic
Facility:
Paiute Indian Tribe of UT
Juab County
Service Area:
Eureka/West Juab
Kane County
Population Group:
Low Income - Kane County
Millard County
Facility:
Kanosh Paiute Medical Clinic
Piute County (Entire County HPSA)
Rich County
Population Group:
Facility:
Low Income - Rich County
Bear Lake Community Health Center Inc.
Salt Lake County
Population Group:
Low Income - Salt Lake Service Area
Population Group:
Low Income-Kearns Service Area
Population Group:
Low Income-Magna Service Area
Population Group:
Low Income-Midvale Service Area
Facility:
Community Health Centers, Inc.
Facility:
Indian Walk-in Center
Facility:
Midvale Family Health Clinic
Facility:
Utah State Prison - Draper
Facility:
Wasatch Homeless
Page 163 of 191 Pages
DENTAL CARE: Utah
County and County Equivalent Listing
San Juan County
Population Group:
Facility:
Low Income - San Juan County
Utah Navajo Health
Sanpete County
Population Group:
Facility:
Low Income - Sanpete
Central Utah Correctional Facility
Sevier County
Population Group:
Facility:
Low Income - Sevier County
Koosharem Paiute Medical Clinic
Tooele County
Facility:
Goshute Tribe
Uintah County
Population Group:
Low Income - Uintah County
Facility:
Fort Duchesne PHS Indian Health Center
Facility:
Ute Indian Tribe
Facility:
Ute Indian Tribe-Alch/Service Area
Utah County
Population Group:
Facility:
Low Income - Utah County
Mountainlands Community Health Center, Inc.
Washington County
Population Group:
Low Income - Washington County
Facility:
Enterprise Valley Medical
Facility:
Shivwits Paiute Medical Clinic
Facility:
Southwest Utah Community
Wayne County
Facility:
Wayne Community Health
Weber County
Population Group:
Facility:
Low Income - Weber County
Midtown Community
Page 164 of 191 Pages
DENTAL CARE: Vermont
County and County Equivalent Listing
Bennington County
Facility:
Michael Welther Dba Arlington Family Practice
Caledonia County
Facility:
Nvrh Corner Medical
Facility:
Nvrh St. Johnsbury Pediatrics
Facility:
Nvrh-Kingdom Internal Medicine
Chittenden County
Facility:
Community Health Center of Burlington
Essex County
Facility:
Northern Counties Health Care
Franklin County
Facility:
Richford Health Center, Inc.
Lamoille County
Facility:
Copley Professional Services Group
Facility:
Ryder Brook Pediatrics
Orange County
Facility:
Little Rivers Health Care
Orleans County
Facility:
Community Medical Associates-186
Facility:
Community Medical Associates-41
Facility:
Family Practice of Newport
Facility:
Family Practice of Newport-186
Facility:
Newport Pediatrics and Adolescent Medicine
Facility:
North Country OB/GYN Practice
Facility:
North Country OB/GYN Services
Facility:
The Barton Clinic
Rutland County
Facility:
Rutland Region Community Health Centers, Inc.
Washington County
Facility:
Northeast Washington County Community Health Cente
Windham County
Facility:
Dba Mountain Valley Medical Clinic
Facility:
Otis Health Care Dba Grace Cottage Family Health
Windsor County
Facility:
Springfield Medical Care Systems, Inc.
Page 165 of 191 Pages
DENTAL CARE: Virginia
County and County Equivalent Listing
Accomack County
Population Group:
Low Income - Accomack/Northampton
Alexandria City
Facility:
Alexandria Neighborhood Health Services
Alleghany County
Population Group:
Low Income - Alleghany Area
Amelia County (Entire County HPSA)
Amherst County
Population Group:
Low Income - Amherst County
Appomattox County
Population Group:
Low Income - Appomattox County
Augusta County
Population Group:
Low Income - Augusta Service Area
Bath County (Entire County HPSA)
Bland County
Population Group:
Facility:
Low Income - Bland/Giles
Bland County Medical
Botetourt County
Population Group:
Low Income - Botetourt County North
Brunswick County
Population Group:
Low Income - Brunswick County
Buchanan County
Population Group:
Low Income - Buchanan County
Buckingham County
Population Group:
Facility:
Low Income - Buckingham/Cumberland Counties
Central Virginia Health Services
Buena Vista City
Population Group:
Low Income-Rockbridge/Lexington/Buenavista
Campbell County
Population Group:
Low Income-Campbell/Lynchburg City
Carroll County
Population Group:
Facility:
Low Income - Grayson/Carroll/Galax Counties
Tri-Area/Laurel Fork Health Clinic
Charlotte County
Population Group:
Low Income - Charlotte County
Colonial Heights City
Population Group:
Low Income-Petersburg/Colonial Heights
Covington City
Population Group:
Low Income - Alleghany Area
Craig County (Entire County HPSA)
Cumberland County
Population Group:
Low Income - Buckingham/Cumberland Counties
Page 166 of 191 Pages
DENTAL CARE: Virginia
County and County Equivalent Listing
Danville City
Facility:
Piedmont Access to Health Services (Path)
Dickenson County (Entire County HPSA)
Dinwiddie County (Entire County HPSA)
Emporia City
Service Area:
Greensville County/Emporia City
Essex County
Population Group:
Low Income - Essex/Richmond
Floyd County (Entire County HPSA)
Franklin City
Service Area:
Southampton/Franklin City
Franklin County
Population Group: Low Income - Franklin County
Fredericksburg City
Population Group: Low Income-Fredericksburg City
Galax City
Population Group: Low Income - Grayson/Carroll/Galax Counties
Giles County
Population Group: Low Income - Bland/Giles
Grayson County
Population Group: Low Income - Grayson/Carroll/Galax Counties
Greensville County
Service Area:
Facility:
Greensville County/Emporia City
Federal Correctional Institution - Petersburg
Halifax County (Entire County HPSA)
Harrisonburg City
Facility:
Harrisonburg Community Health Center
Henry County
Population Group:
Low Income-Henry County/Martinsville City
Highland County
Facility:
Highland Medical Center
Hopewell City
Population Group:
Low Income-Hopewell
James City County
Facility:
Olde Towne Medical Center
King George County
Service Area:
King George/Westmoreland
Lancaster County
Population Group:
Low Income-Lancaster/Northumberland
Lee County (Entire County HPSA)
Facility:
Stone Mountain Health Services
Facility:
United States Penitentiary - Lee
Page 167 of 191 Pages
DENTAL CARE: Virginia
County and County Equivalent Listing
Lexington City
Population Group:
Low Income-Rockbridge/Lexington/Buenavista
Loudoun County
Facility:
Loudoun Community Health Center
Lunenburg County
Population Group:
Facility:
Low Income - Lunenburg County
Southern Dominion Health Systems, Inc.
Lynchburg City
Population Group:
Facility:
Low Income-Campbell/Lynchburg City
Johnson Health Center
Martinsville City
Population Group:
Facility:
Low Income-Henry County/Martinsville City
Martinsville Henry County Coalition Health and Human Services
Mecklenburg County (Entire County HPSA)
Middlesex County
Population Group:
Low Income - Middlesex County
Montgomery County
Population Group:
Low Income - Montgomery County
Nelson County
Population Group:
Facility:
Low Income - Nelson County
Blue Ridge Medical Center
Newport News City
Facility:
Peninsula Institute for Community Health
Northampton County
Population Group:
Facility:
Low Income - Accomack/Northampton
Eastern Shore Rural Health
Northumberland County
Population Group:
Low Income-Lancaster/Northumberland
Norton City
Population Group:
Low Income-Wise/Norton City
Nottoway County
Population Group:
Low Income - Nottoway County
Orange County (Entire County HPSA)
Page County (Entire County HPSA)
Patrick County (Entire County HPSA)
Petersburg City
Population Group:
Low Income-Petersburg/Colonial Heights
Portsmouth City
Facility:
Portsmouth Community Health Center
Prince Edward County
Population Group:
Low Income - Prince Edward County
Page 168 of 191 Pages
DENTAL CARE: Virginia
County and County Equivalent Listing
Prince William County
Facility:
Greater Prince William Community Health Ct
Pulaski County
Population Group:
Low Income - Pulaski County/Radford City
Radford City
Population Group:
Low Income - Pulaski County/Radford City
Richmond City
Facility:
Daily Planet
Facility:
Vernon J. Harris East End Community Health Center
Richmond County
Population Group:
Low Income - Essex/Richmond
Roanoke City
Population Group:
Facility:
Low Income - Roanoke/Salem
Kuumba Community Health
Roanoke County
Population Group:
Low Income - Roanoke/Salem
Rockbridge County
Population Group:
Low Income-Rockbridge/Lexington/Buenavista
Russell County (Entire County HPSA)
Salem City
Population Group:
Low Income - Roanoke/Salem
Scott County (Entire County HPSA)
Facility:
Clinch River Health Services
Shenandoah County (Entire County HPSA)
Smyth County
Population Group:
Facility:
Low Income Smyth
Southwest Virginia Community Health Services
Southampton County
Service Area:
Facility:
Southampton/Franklin City
Horizon Health Services
Staunton City
Population Group:
Low Income - Augusta Service Area
Surry County
Population Group:
Low Income - Surry/Sussex
Sussex County
Population Group:
Facility:
Low Income - Surry/Sussex
Stony Creek Community Health Center
Tazewell County
Population Group:
Low Income - Tazewell County
Warren County (Entire County HPSA)
Waynesboro City
Population Group:
Low Income - Augusta Service Area
Page 169 of 191 Pages
DENTAL CARE: Virginia
County and County Equivalent Listing
Westmoreland County
Service Area:
King George/Westmoreland
Williamsburg City
Population Group:
Low Income - Williamsburg
Winchester City
Population Group:
Low Income - Winchester City
Wise County
Population Group:
Low Income-Wise/Norton City
Page 170 of 191 Pages
DENTAL CARE: Washington
County and County Equivalent Listing
Adams County
Population Group:
Facility:
Low Income/Homeless - Adams County
Columbia Basin Health Association
Asotin County
Population Group:
Low Income/Migrant Farmworker/Homeless - Asotin
Benton County
Population Group:
Low Income/Migrant Farmworker - Benton/Franklin
Chelan County
Population Group:
Facility:
Migrant Seasonal Farmworkers - Chelan/Douglas
Columbia Valley Community Health Center
Clallam County
Service Area:
West Side Olympic Peninsula
Population Group:
Low Income - Port Angeles/Sequim Service Area
Facility:
Clallam Bay Corrections Center
Facility:
Jamestown South'Klallam Tribe
Facility:
Lower Elwha Klallam Health Clinic
Facility:
Makah - Sophie Trettevick Indian Health Center
Facility:
Peninsula Children's Clinic, Inc.
Facility:
Quileute Clinic
Columbia County
Population Group:
Low Income/Migrant Farmworker/H - Columbia/Walla Walla Counties
Cowlitz County
Population Group:
Low Income/Homeless - Cowlitz
Facility:
Cowlitz Family Health
Facility:
Cowlitz Tribe
Douglas County
Population Group:
Migrant Seasonal Farmworkers - Chelan/Douglas
Ferry County (Entire County HPSA)
Facility:
Colville Confederated Tribes
Facility:
Inchelium Health Clinic
Franklin County
Population Group:
Facility:
Low Income/Migrant Farmworker - Benton/Franklin
La Clinica Community Health Center
Garfield County
Population Group:
Low Income/Homeless - Garfield County
Grant County
Service Area:
Lower Grant County
Population Group:
Low Income/Migrant Farmworker - Upper and Central
Facility:
Grant County Public Hospital (Gcphd)Dba Mattawa Communit
Facility:
Moses Lake Community Health Center
Grays Harbor County
Population Group:
Low Income - Grays Harbor
Page 171 of 191 Pages
DENTAL CARE: Washington
County and County Equivalent Listing
Grays Harbor County
Facility:
Chehalis Tribal Clinic
Facility:
Roger Saux Health Center
Facility:
Stafford Creek Correctional Center
Island County
Population Group:
Low Income - Whidbey Island
Jefferson County
Service Area:
West Side Olympic Peninsula
King County
Facility:
Country Doctors Community Clinic
Facility:
Federal Detention Center - Seatac
Facility:
Healthpoint
Facility:
International Community Health Services
Facility:
Muckleshoot Tribal Clinic
Facility:
Neighborhood Health
Facility:
Sea Mar Community Health Center
Facility:
Seattle Indian Health
Facility:
Seattle King County Department of Public Health
Facility:
Snoqualmie-North Bend Family Clnic
Facility:
Snoqualmie-Tolt Community Clnic
Kitsap County
Facility:
Peninsula Community Health
Facility:
Port Gamble South'Klallam Tribal Clinic
Facility:
Suquamish Tribe
Kittitas County
Population Group:
Low Income/Migrant Farmworker/Homeless - Kittitas
Klickitat County
Population Group:
Low Income/Migrant Farmworker - Klickitat County
Lewis County
Population Group:
Facility:
Low Income - Lewis County
Valley View Health Center
Lincoln County
Population Group:
Low Income - Lincoln County
Mason County
Population Group:
Low Income - Mason
Facility:
Skokomish Tribal Health Clinic
Facility:
Squaxin Island Health Center
Facility:
Washington Corrections Center
Okanogan County
Population Group:
Low Income - Okanogan
Facility:
Colville PHS Indian Health Center
Facility:
Family Health Centers
Page 172 of 191 Pages
DENTAL CARE: Washington
County and County Equivalent Listing
Okanogan County
Facility:
Omak Clinic
Pacific County
Population Group:
Facility:
Low Income - Pacific
Shoalwater Bay Health Clinic
Pend Oreille County (Entire County HPSA)
Facility:
Kalispel Tribe
Pierce County
Facility:
Community Health Care Delivery
Facility:
Immigration and Customs Enforcement - Tacoma
Facility:
Metropolitan Development Council
Facility:
Puyallup Tribal Health Authority
San Juan County (Entire County HPSA)
Skagit County
Service Area:
Concrete Service Area
Population Group:
Low Income/Homeless - Central Skagit
Facility:
Sauk-Suiattle Health Clinic
Facility:
Swinomish Health Clinic
Facility:
Upper Skagit Tribal Clinic
Skamania County
Population Group:
Low Income - Skamania County
Snohomish County
Service Area:
Darrington
Facility:
Community Health Center of Snohomish
Facility:
Monroe Correctional Complex
Facility:
Stillaguamish Tribal Clinic
Facility:
Tulalip Clinic
Spokane County
Population Group:
Low Income/Homeless - Spokane County
Facility:
Airway Heights Corrections Center
Facility:
Community Health Association of Spokane
Facility:
Healing Lodge of Seven Nations
Facility:
N.A.T.I.V.E. Project of Spokane
Stevens County
Population Group:
Low Income - Stevens
Facility:
David C. Wynecoop Memorial Clinic
Facility:
N.E.W. Health Programs
Facility:
Spokane Tribe
Thurston County
Facility:
Nisqually Health Clinic
Wahkiakum County (Entire County HPSA)
Page 173 of 191 Pages
DENTAL CARE: Washington
County and County Equivalent Listing
Walla Walla County
Population Group:
Low Income/Migrant Farmworker/H - Columbia/Walla Walla Counties
Facility:
Adventist Health/Medical Group
Facility:
Washington State Penitentiary
Whatcom County
Population Group:
Low Income - Whatcom County
Facility:
Indian Tribal Consortium
Facility:
Interfaith Community Health Center
Facility:
Lummi Tribal Health Center
Facility:
Nooksack Tribal Health Center
Whitman County
Population Group:
Low Income/Migrant Farmworker/Homeless - Whitman C
Yakima County
Population Group:
Low Income/Migrant Farmworker - Yakima
Facility:
Central Washington Family Medicine
Facility:
Grandview Medical Center
Facility:
Lincoln Ave Fam Medical
Facility:
White Swan Clinic
Facility:
Yakima Indian Health Center
Facility:
Yakima Neighborhood Health Services
Facility:
Yakima Valley Farmworkers Clinic
Page 174 of 191 Pages
DENTAL CARE: West Virginia
County and County Equivalent Listing
Barbour County
Facility:
Bellington Community Medical Services
Facility:
The Myers Clinic
Berkeley County
Facility:
Shenandoah Valley Medical Center
Boone County (Entire County HPSA)
Facility:
Boone County Hospital Medical Clinic
Facility:
Hygeia Facilities Foundation
Braxton County (Entire County HPSA)
Cabell County
Facility:
Ebenezer Medical Outreach, Inc.
Facility:
Valley Health Systems
Calhoun County
Population Group:
Facility:
Low Income - Calhoun County
Minnie Hamilton Health Center
Clay County
Population Group:
Low Income - Clay County
Doddridge County (Entire County HPSA)
Fayette County
Facility:
Mt. Olive Correctional Complex
Facility:
New River Family Health Center
Gilmer County (Entire County HPSA)
Facility:
Federal Correctional Institution - Gilmer
Grant County
Population Group:
Low Income - Grant County
Greenbrier County
Population Group:
Low Income - Greenbrier County
Facility:
Northern Greenbrier Health Clinic
Facility:
Rainelle Medical Center
Facility:
Rupert Primary Care
Hampshire County
Service Area:
Facility:
Baker Service Area
Hampshire Memorial Hospital
Hancock County
Facility:
Change, Inc. Dba Family Medical Care
Hardy County
Service Area:
Facility:
Baker Service Area
E.A. Hawse Health Center
Kanawha County
Facility:
Cabin Creek Health Center
Lincoln County (Entire County HPSA)
Facility:
Lincoln County Primary Care Center
Page 175 of 191 Pages
DENTAL CARE: West Virginia
County and County Equivalent Listing
Logan County (Entire County HPSA)
Facility:
Rural Health Access Corporation/Dba Coalfield Health Center
Marion County
Facility:
Douglas D. Wolfe Do, Inc.
Facility:
Monongahela Valley Association of Health Centers
Facility:
North Marion Medical Associates
Mason County (Entire County HPSA)
McDowell County (Entire County HPSA)
Facility:
Bradshaw Medical Rural Health Clinic
Facility:
Federal Correctional Institution - McDowell
Facility:
Tug River Health Association
Facility:
Welch Emergency Hospital Rural Health Clinic
Facility:
Yukon Medical Clinic
Mercer County
Facility:
Bluestone Health Center
Facility:
Jana Peters, Do
Mineral County
Population Group:
Low Income - Mineral County
Mingo County (Entire County HPSA)
Monongalia County
Facility:
Clay-Battelle Health Services
Facility:
Federal Correctional Institution - Morgantown
Monroe County (Entire County HPSA)
Facility:
Miller Family Practice
Facility:
Monroe County Health Center
Morgan County
Population Group:
Facility:
Low Income - Morgan County
Mountaineer Community Health Center, Inc.
Nicholas County
Population Group:
Low Income - Nicholas County
Pendleton County
Population Group:
Facility:
Low Income - Pendleton
Pendleton Community Center
Pocahontas County (Entire County HPSA)
Facility:
Pocahontas Memorial Hospital Medical Practice
Preston County
Facility:
United States Penitentiary - Hazelton
Putnam County
Facility:
Family Care, Inc.
Raleigh County
Facility:
Community Health Systems
Facility:
Federal Correctional Institution - Beckley
Page 176 of 191 Pages
DENTAL CARE: West Virginia
County and County Equivalent Listing
Randolph County
Facility:
Valley Health Care, Inc.
Ritchie County
Population Group:
Facility:
Low Income - Ritchie County
Ritchie County Primary Care Association Inc.
Roane County
Population Group:
Low Income - Roane County
Facility:
Roane County Family Health Center
Facility:
Roane General Medical Associates
Facility:
Roane General Medical Clinic
Facility:
Southern Roane Medical Clinic
Summers County (Entire County HPSA)
Facility:
Family Care Clinic
Facility:
S.K. Shammaa, MD
Taylor County
Facility:
Pinewood Medical Center
Facility:
Preston-Taylor Community Health Center
Facility:
Tygart Valley Total Care Clinic
Tucker County (Entire County HPSA)
Facility:
St. George Medical Clinic, Inc.
Tyler County (Entire County HPSA)
Upshur County
Facility:
Community Care of West Virginia
Webster County (Entire County HPSA)
Facility:
Camden-on-Gauley Medical Center
Facility:
Webster County Memorial
Wetzel County
Facility:
Pine Grove Health Center
Wirt County (Entire County HPSA)
Facility:
Wirt County Health Services Association
Wood County
Facility:
Mid-Ohio Valley Health Department
Wyoming County (Entire County HPSA)
Page 177 of 191 Pages
DENTAL CARE: Wisconsin
County and County Equivalent Listing
Adams County
Population Group:
Facility:
Low Income - Adams County
Federal Correctional Institution - Oxford
Ashland County
Population Group:
Facility:
Low Income - Ashland County
Bad River Health Svs
Barron County
Population Group:
Low Income - Ladysmith
Bayfield County
Population Group:
Low Income - Bayfield County
Facility:
Red Cliff Health Services
Facility:
The Lakes Community Health Center, Inc.
Brown County
Population Group:
Facility:
Low Income - Inner City Green Bay
N.E.W. Community Clinic
Burnett County
Population Group:
Facility:
Low Income - Burnett County
St. Croix Tribal Health Dpt
Chippewa County
Population Group:
Low Income - Ladysmith
Clark County
Population Group:
Low Income - Ladysmith
Crawford County
Population Group:
Low Income - Crawford County
Dane County
Population Group:
Low Income - Central Madison
Population Group:
Low Income - Northeast Madison
Facility:
Madison Community Health Center
Door County
Population Group:
Low Income - Washington Island
Douglas County
Population Group:
Low Income - Douglas County
Dunn County
Population Group:
Low Income - Dunn/Pepin
Eau Claire County
Population Group:
Low Income - Ladysmith
Florence County
Population Group:
Low Income - Florence County
Forest County
Population Group:
Low Income - Forest County
Facility:
Potawatomi Health and Wellness Center
Facility:
Sokaogon Chippewa Indian Community
Page 178 of 191 Pages
DENTAL CARE: Wisconsin
County and County Equivalent Listing
Grant County
Population Group:
Low Income - Grant County
Iron County
Population Group:
Low Income - Iron County
Jackson County
Population Group:
Facility:
Low Income - Jackson County
Ho-Chunk Nation Health Dpt
Juneau County
Population Group:
Low Income - Juneau County
Facility:
Mile Bluff Clinic, LLP
Facility:
Necedah Family Medical Center
Facility:
New Lisbon Clinic
Kenosha County
Population Group:
Facility:
Low Income - Kenosha County
Kenosha Community Health Center
La Crosse County
Population Group:
Low Income - La Crosse City
Langlade County
Population Group:
Low Income - Langlade County
Lincoln County
Population Group:
Low Income - Lincoln County
Marathon County
Facility:
Bridge Community Health Center
Marinette County
Population Group:
Low Income - Marinette County
Marquette County
Population Group:
Low Income - Marquette County
Menominee County
Facility:
Menominee Tribal Clinic-Wolf River
Milwaukee County
Population Group:
Low Income - Inner City South
Population Group:
Low Income - Inner City Southeast
Population Group:
Low Income-North Milwaukee
Facility:
16th Street Community Health Center
Facility:
Gerald I. Ignace Health Center
Facility:
Milwaukee Health Services
Facility:
Outreach Community Health Centers, Inc.
Facility:
Progressive Community Health Centers, Inc.
Monroe County
Population Group:
Facility:
Low Income - Monroe County
Scenic Bluffs Health Center
Page 179 of 191 Pages
DENTAL CARE: Wisconsin
County and County Equivalent Listing
Oconto County
Facility:
Northern Health Centers, Inc.
Oneida County
Population Group:
Low Income - Oneida County
Outagamie County
Facility:
Oneida Community Health Center
Pepin County
Population Group:
Low Income - Dunn/Pepin
Portage County
Population Group:
Low Income - Portage County
Price County
Population Group:
Low Income - Ladysmith
Richland County
Population Group:
Low Income - Richland County
Rock County
Population Group:
Facility:
Low Income - Central Beloit City
Community Health Systems
Rusk County
Population Group:
Low Income - Ladysmith
Sawyer County
Population Group:
Facility:
Low Income - Ladysmith
Lac Courte Oreilles Community Health Center
Shawano County
Facility:
Stockbridge-Munsee Tribal Health Center
Sheboygan County
Facility:
Sheboygan Area Community Clinics
Taylor County
Population Group:
Low Income - Ladysmith
Trempealeau County
Population Group:
Low Income - Trempealeau County
Vernon County
Population Group:
Low Income - Vernon County
Vilas County
Population Group:
Low Income - Vilas County
Facility:
Great Lakes Inter-Tribal Council
Facility:
Peter Christensen Health Center
Washburn County
Population Group:
Facility:
Low Income - Washburn County
Northwoods Community Health
Waukesha County
Population Group:
Low Income - Waukesha City
Page 180 of 191 Pages
DENTAL CARE: Wisconsin
County and County Equivalent Listing
Waupaca County
Population Group:
Low Income - Waupaca County
Waushara County
Population Group:
Facility:
Low Income - Waushara County
La Clinica De Los Campe
Winnebago County
Facility:
Fox Cities Community Health Center
Wood County
Facility:
Marshfield Family Health
Page 181 of 191 Pages
DENTAL CARE: Wyoming
County and County Equivalent Listing
Albany County
Population Group:
Low Income - Albany County
Carbon County
Service Area:
Northeast Carbon County
Converse County (Entire County HPSA)
Fremont County
Population Group:
Low Income - Fremont County
Facility:
Arapaho Clinic
Facility:
Arapahoe PHS Indian Health Center
Facility:
Ft. Washakie PHS Indian Health Center
Facility:
Northern Arapaho Tribal Health Dpt
Facility:
Shoshone Tribal Health Dpt
Goshen County
Population Group:
Low Income - Goshen County
Laramie County
Facility:
Cheyenne Health and Wellness Center
Facility:
Community Action of Laramie County
Facility:
Wyoming Migrant Health
Natrona County
Facility:
Community Action Partnership of Natrona
Facility:
Community Health Center
Niobrara County (Entire County HPSA)
Park County
Population Group:
Low Income - Park County
Platte County
Population Group:
Low Income - Platte County
Sheridan County
Service Area:
West Sheridan County
Sweetwater County
Facility:
Sweetwater County Community Health Clinic
Weston County
Population Group:
Low Income - Weston County
Page 182 of 191 Pages
DENTAL CARE: American Samoa
County and County Equivalent Listing
Eastern District
Service Area:
Facility:
American Samoa Service Area
Tafuna Family Medical Center
Manu'a District
Service Area:
American Samoa Service Area
Rose Island
Service Area:
American Samoa Service Area
Swains Island
Service Area:
American Samoa Service Area
Western District
Service Area:
American Samoa Service Area
Page 183 of 191 Pages
DENTAL CARE: Federated States of Micronesia
County and County Equivalent Listing
Chuuk State (Entire County HPSA)
Facility:
Pohnpei Community Health Center
Kosrae State (Entire County HPSA)
Pohnpei State (Entire County HPSA)
Yap State (Entire County HPSA)
Facility:
Wa'Ab Community Health Center
Page 184 of 191 Pages
DENTAL CARE: Guam
County and County Equivalent Listing
Guam
Facility:
Southern Region Health Center
Page 185 of 191 Pages
DENTAL CARE: Marshall Islands
County and County Equivalent Listing
Kwajalein
Facility:
Ministry of Health
Page 186 of 191 Pages
DENTAL CARE: Northern Mariana Islands
County and County Equivalent Listing
Northern Islands Municipality
Service Area:
Facility:
Commonwealth Northern Mariana Islands
Cnmi Department of Public Health
Rota Municipality
Service Area:
Commonwealth Northern Mariana Islands
Saipan Municipality
Service Area:
Commonwealth Northern Mariana Islands
Tinian Municipality
Service Area:
Commonwealth Northern Mariana Islands
Page 187 of 191 Pages
DENTAL CARE: Republic of Palau
County and County Equivalent Listing
Airai State
Facility:
Ministry of Health
Page 188 of 191 Pages
DENTAL CARE: Puerto Rico
County and County Equivalent Listing
Arroyo Municipio
Facility:
Centro De Salud Familia
Barceloneta Municipio
Facility:
Barceloneta Primary Health
Caguas Municipio
Facility:
Sanos
Camuy Municipio
Facility:
Camuy Health Service
Ciales Municipio
Facility:
Ciales Primary Health
Cidra Municipio
Facility:
COSSMA Corporation
Florida Municipio
Facility:
Centro De Servicios Primarios De Salud De Patillas
Facility:
Centro De Servicios Primarios De Salud Inc.
Guaynabo Municipio
Facility:
Metropolitan Detention Center - Guaynabo
Gurabo Municipio
Facility:
Gurabo Community Health Center
Hatillo Municipio
Facility:
Corporacion De Servicios Medicos Primarios De Hat
Lares Municipio
Facility:
Castaner General Hospital
Facility:
Lares Health Center
Loiza Municipio
Facility:
Concilio De Salud Integral De Loiza
Mayaguez Municipio
Facility:
Western Region/Migrant Health
Morovis Municipio
Facility:
Morovis Community Health
Naranjito Municipio
Facility:
Salud Integral En La Montane
Ponce Municipio
Facility:
Consejo De Salud
Rincon Municipio
Facility:
Rincon Rural Health
San Juan Municipio
Facility:
Junta De Salud Comunal
Facility:
San Juan Comprehensive
Vieques Municipio (Entire County HPSA)
Page 189 of 191 Pages
Page 190 of 191 Pages
DENTAL CARE: U.S. Virgin Islands
County and County Equivalent Listing
St. Croix (Entire County HPSA)
Facility:
Frederiksted Healthcare
St. John (Entire County HPSA)
St. Thomas (Entire County HPSA)
Facility:
East End Family Health Center
Page 191 of 191 Pages